Organization
FAMILY CARE SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON PHIL GUILD D.O. (PRESIDENT)
(517) 423-7458
Entity
Organization
Contact information
Practice address
502 E CUMMINS ST, TECUMSEH, MI 49286-2074
(517) 423-7458
Mailing address
502 E CUMMINS ST, TECUMSEH, MI 49286-2074
(517) 423-7458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
006729
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080D610230
BLUE CROSS BLUE SHIELD
MI
05
—
3216097
—
MI
Enumeration date
02/12/2008
Last updated
02/12/2008
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