Organization
FAMILY CARE PRACTICE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON THOMAS SANFORD (CEO)
(517) 899-1680
Entity
Organization
Contact information
Practice address
1675 WATERTOWER PL, SUITE 700, EAST LANSING, MI 48823-8043
(517) 253-0539
(517) 253-0536
Mailing address
1675 WATERTOWER PL, SUITE 700, EAST LANSING, MI 48823-8043
(517) 253-0539
(517) 253-0536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101019040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902114424
—
MI
01
—
207Q500000X
TAXONOMY
MI
Enumeration date
06/06/2015
Last updated
07/21/2015
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