NPI | 1093842510 |
---|---|
Doing Business As | FAMILY HEALTH CENTER OF BLUE CARE NETWORK |
Entity Type | Organization |
Authorized Contact | MARC D. KESHISHIAN Senior VP And Chief Medical Officer 248-799-6843 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-02-28 |
Last Update Date | 2009-04-14 |