Organization
FAMILY MEDICAL CENTER OF MICHIGAN, INC
Active
Other names
FAMILY MEDICAL CENTER OF MICHIGAN, INC- WATERLOO
Organization subpart
No
Provider details
NPI number
Authorized official
SHAELISE HARRIS (PATIENT ACCOUNTS ASSISTANT MANAGER)
(734) 847-3802
Entity
Organization
Contact information
Practice address
1933 S CUSTER RD RM 101, MONROE, MI 48161-1828
(734) 243-2410
(734) 639-2552
Mailing address
8765 LEWIS AVE, TEMPERANCE, MI 48182-9300
(734) 847-3802
(734) 850-0520
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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