Organization
FIRST IDEAL ENTERPRISES INC.
Active
Other names
IDEAL HOME PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE OSHIYOYE (ADMINISTRATOR)
(248) 440-0920
Entity
Organization
Contact information
Practice address
29430 MARIMOOR DR, SOUTHFIELD, MI 48076-5237
(248) 440-0920
(248) 440-0292
Mailing address
29430 MARIMOOR DR, SOUTHFIELD, MI 48076-5237
(248) 440-0920
(248) 440-0292
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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