Organization
FAMILY DOC AP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MIRZA NP (OWNER)
(313) 763-0309
Entity
Organization
Contact information
Practice address
19100 GODDARD RD STE A, ALLEN PARK, MI 48101-1156
(313) 763-0309
Mailing address
19100 GODDARD RD STE A, ALLEN PARK, MI 48101-1156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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