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Organization

FREEDOM MEDICAL CLINIC PC

Active
Parent organization
FREEDOM MEDICAL CLINIC PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FREEDOM MEDICAL CLINIC PC
Authorized official
WENDY KATHERINE COOK (OFFICE MANAGER)
(248) 476-4724
Entity
Organization

Contact information

Practice address
20206 FARMINGTON RD, LIVONIA, MI 48152-1412
(248) 476-4724
Mailing address
20206 FARMINGTON RD, LIVONIA, MI 48152-1412
(248) 476-4724

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
05/10/2007
Last updated
01/04/2011
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