Organization
PAVILION FAMILY PRACTICE PC
Active
Organization
PAVILION FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY K SAUNDERS M.D (PRESIDENT)
(248) 423-0700
Entity
Organization
Contact information
Practice address
23077 GREENFIELD RD, SUITE 195, SOUTHFIELD, MI 48075-3709
(248) 423-0700
(248) 423-0707
Mailing address
1547 MOMENTUM PL, CHICAGO, IL 60689-5315
(248) 423-0700
(248) 423-0707
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
08/15/2007
Last updated
03/05/2009
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