Organization
GLADWIN FAMILY CARE CENTER P C
Active
Organization
GLADWIN FAMILY CARE CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HICHAM CHURBAJI MD (PRESIDENT)
(989) 426-9399
Entity
Organization
Contact information
Practice address
2137 W M61, GLADWIN, MI 48624
(989) 426-9399
(989) 246-2257
Mailing address
3061 CHRISTY WAY, SAGINAW, MI 48603-2267
(989) 791-2455
(989) 791-1392
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4276035
—
MI
05
—
4920566
—
MI
05
—
4989200
—
MI
05
—
5203202
—
MI
05
—
5214752
—
MI
05
—
7116734
—
MI
Enumeration date
08/20/2006
Last updated
11/01/2007
Update your record
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