Organization
CHILDRENS AND FAMILY MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREM DUA MD (PRESIDENT)
(313) 386-1500
Entity
Organization
Contact information
Practice address
8209 ALLEN RD, ALLEN PARK, MI 48101-1401
(313) 386-1500
(313) 386-1503
Mailing address
8542 N CANTON CENTER RD, CANTON, MI 48187-1310
(800) 827-3797
(248) 553-2108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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