Organization
HOLY FAMILY CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA ADELA ASIS CORDOBA-NAUGIT M.D. (PHYSICIAN)
(517) 423-5508
Entity
Organization
Contact information
Practice address
502 E CUMMINS ST, TECUMSEH, MI 49286-2074
(517) 423-5508
(517) 423-4772
Mailing address
502 E CUMMINS ST, TECUMSEH, MI 49286-2074
(517) 423-5508
(517) 423-4772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301073146
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0804610351
BCBS
MI
Enumeration date
03/27/2008
Last updated
03/27/2008
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