Organization
FAMILY MEDICAL CENTER OF MICHIGAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED LARKINS (CHIEF EXECUTIVE OFFICER)
(734) 850-6914
Entity
Organization
Contact information
Practice address
690 RIVERSIDE AVE, ADRIAN, MI 49221-1544
(571) 438-8162
(571) 438-8249
Mailing address
8765 LEWIS AVE, TEMPERANCE, MI 48182-9583
(734) 847-3802
(734) 850-0520
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MI
Other
Enumeration date
10/12/2012
Last updated
03/25/2013
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