Organization
MACOMB COUNTY VILLAGE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA J ONGENA (OFFICE MANAGER)
(586) 727-2761
Entity
Organization
Contact information
Practice address
31505 32 MILE RD, RICHMOND, MI 48062
(586) 727-2761
(586) 727-3120
Mailing address
PO BOX 250, 31505 32 MILE RD, RICHMOND, MI 48062
(586) 727-2761
(586) 722-3120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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