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1043600257
FAMILY PHYSICIAN GROUP
DEARBORN, MI
NPI
1043600257
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Entity Type
Organization
Authorized Contact
MARYAM MIHTAR
President
313-736-5004
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2015-01-26
Last Update Date
2015-02-04
Business Address
FAMILY PHYSICIAN GROUP
15301 TIREMAN AVE SUITE A
DEARBORN, MI 48126-1045
Phone number: 313-736-5004
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Mailing Address
FAMILY PHYSICIAN GROUP
15301 TIREMAN AVE SUITE A
DEARBORN, MI 48126-1045
Phone number: 313-736-5004
Copy
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