Organization
HERITAGE MEDICAL CLINIC PPLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALAYAT KHAN (OWNER)
(734) 483-9474
Entity
Organization
Contact information
Practice address
1159 E MICHIGAN AVE STE E, YPSILANTI, MI 48198-5807
(734) 483-9474
(734) 483-9464
Mailing address
1159 E MICHIGAN AVE STE E, YPSILANTI, MI 48198-5807
(734) 483-9474
(734) 483-9464
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
10/19/2010
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