Organization
FAMILY MEDICAL CENTER OF MICHIGAN-WAGAR ELEMENTARY
Active
Other names
FAMILY MEDICAL CENTER OF MICHIGAN-WAGAR ELEMENTARY
Organization subpart
No
Provider details
NPI number
Authorized official
ED LARKINS (CEO)
(734) 850-6914
Entity
Organization
Contact information
Practice address
11270 GRAFTON RD, CARLETON, MI 48117-9392
(734) 654-2169
Mailing address
8765 LEWIS AVE, TEMPERANCE, MI 48182-9300
(734) 847-3802
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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