Organization
GOLDEN FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDI NICOLE BASKET DO (OWNER)
(734) 945-0482
Entity
Organization
Contact information
Practice address
23463 E SCOTT BLVD, CLINTON TOWNSHIP, MI 48036-3155
(734) 945-0482
Mailing address
23463 E SCOTT BLVD, CLINTON TOWNSHIP, MI 48036-3155
(734) 945-0482
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
510108586
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437478070
—
MI
Enumeration date
06/21/2016
Last updated
01/17/2018
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