Organization
CANTON FAMILY MEDICINE AND MEDICAL SPA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL GRANADOS MD (PHYSICIAN OWNER)
(734) 667-1648
Entity
Organization
Contact information
Practice address
5958 N CANTON CENTER RD, SUITE 200, CANTON, MI 48187-2765
(734) 667-1648
(734) 667-1649
Mailing address
5958 N CANTON CENTER RD, SUITE 200, CANTON, MI 48187-2765
(734) 667-1648
(734) 667-1649
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301061850
MI
Other
Enumeration date
05/29/2013
Last updated
01/10/2017
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