Organization
MAIN STREET FAMILY MEDICINE P C
Active
Other names
Main Center Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN J BLOCH DO (CEO)
(248) 348-1131
Entity
Organization
Contact information
Practice address
422 N CENTER ST, NORTHVILLE, MI 48167-1224
(248) 348-1131
(248) 348-1170
Mailing address
422 N CENTER ST, NORTHVILLE, MI 48167-1224
(248) 348-1131
(248) 348-1170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4118116
—
MI
01
—
CG4894
MEDICARE RAILROAD PIN
MI
Enumeration date
01/30/2007
Last updated
11/12/2009
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