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Organization

FAMILY MEDICINE ASSOCIATES OF MACOMB PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANHAL NAOUMI MD (PRESIDENT)
(586) 465-2000
Entity
Organization

Contact information

Practice address
21250 HALL RD, SUITE 200, CLINTON TWP, MI 48038-7232
(586) 465-2000
(586) 465-2002
Mailing address
PO BOX 1330, STERLING HEIGHTS, MI 48311-1330
(586) 465-2000
(586) 465-2002

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MN079004
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E03109
BCBS
MI
Enumeration date
07/09/2010
Last updated
07/18/2011
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