Organization
BARBARA ANN CENTER FOR FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENOLA M. GARVIN-LESLIE M.D. (PARTNER)
(248) 905-5470
Entity
Organization
Contact information
Practice address
15565 NORTHLAND DR., STE 108E, SOUTHFIELD, MI 48075
(248) 905-5470
(248) 905-5472
Mailing address
1837 CAMPAU FARMS CIR, DETROIT, MI 48207-5167
(313) 567-2704
(313) 567-2704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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