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Organization

GREENFIELD FAMILY PRACTICE CENTER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY HARRIS MD (OWNER)
(313) 835-8500
Entity
Organization

Contact information

Practice address
19141 GREENFIELD RD, DETROIT, MI 48235-6007
(313) 835-8500
(313) 835-3081
Mailing address
PO BOX 44047, DETROIT, MI 48244-0047
(313) 835-8500
(313) 835-3081

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080H20117
BCBSM
MI
Enumeration date
10/18/2006
Last updated
09/07/2007
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