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Organization

FAMILY MEDICAL CENTER OF MICHIGAN, INC

Active
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Organization

FAMILY MEDICAL CENTER OF MICHIGAN, INC

Active
Other names
FAMILY MEDICAL CENTER OF MICHIGAN-BATES ACADEMY
Organization subpart
No

Provider details

NPI number
Authorized official
ED LARKINS (CEO)
(734) 850-6914
Entity
Organization

Contact information

Practice address
19701 WYOMING ST, DETROIT, MI 48221-1519
(734) 847-3802
(734) 850-0520
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
09/28/2021
Last updated
09/28/2021
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