Organization
HERITAGE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARZIN R NAMEI MD (OWNER)
(586) 443-5588
Entity
Organization
Contact information
Practice address
22301 KELLY RD, EASTPOINTE, MI 48021-2619
(586) 443-5588
(586) 443-5538
Mailing address
PO BOX 3148, FARMINGTON HILLS, MI 48333-3148
(586) 443-5588
(586) 443-5538
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/29/2006
Last updated
01/23/2008
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