Organization
FAMILY MEDICAL CENTER OF MICHIGAN,INC
Active
Other names
FAMILY MEDICAL CENTER OF MI-EDISON ELEMENTARY
Organization subpart
No
Provider details
NPI number
Authorized official
ED LARKINS (CEO)
(734) 850-6914
Entity
Organization
Contact information
Practice address
17045 GRAND RIVER AVE, DETROIT, MI 48227-1424
(734) 850-6903
(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
02/14/2022
Last updated
02/14/2022
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