Organization
HERITAGE MEDICAL GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARZIN R NAMEI (OWNER)
(586) 443-5588
Entity
Organization
Contact information
Practice address
22301 KELLY RD, EASTPOINTE, MI 48021-2619
(586) 443-5588
Mailing address
22301 KELLY RD, EASTPOINTE, MI 48021-2619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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