Organization
FARWELL INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA NYAMOGO MD (OWNER)
(989) 544-4226
Entity
Organization
Contact information
Practice address
522 E MAIN ST, FARWELL, MI 48622-9118
(407) 288-4140
Mailing address
522 E MAIN ST, FARWELL, MI 48622-9118
(989) 544-4226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301111706
MI
Other
Enumeration date
03/08/2018
Last updated
10/21/2018
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