Organization
FAMILY MEDICAL CENTER OF MICHIGAN,INC
Active
Other names
Fammily Medical Center-Wagar Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
ED LARKINS (CEO)
(734) 850-6914
Entity
Organization
Contact information
Practice address
11270 GRAFTON RD RM 215, CARLETON, MI 48117-9392
(734) 654-2169
(734) 654-2535
Mailing address
8765 LEWIS AVE, TEMPERANCE, MI 48182-9583
(734) 850-6903
(734) 850-0520
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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