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1124208608
SILVER LAKE FAMILY PRACTICE ,LLC
FENTON, MI
NPI
1124208608
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Entity Type
Organization
Authorized Contact
DONNA S BENFORD
Owner
810-714-7369
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI DB009523)
Enumeration Date
2007-11-13
Last Update Date
2007-11-13
Business Address
SILVER LAKE FAMILY PRACTICE ,LLC
1100 TORREY RD STE 300
FENTON, MI 48430-3327
Phone number: 810-714-7369
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Mailing Address
SILVER LAKE FAMILY PRACTICE ,LLC
1100 TORREY RD STE 300
FENTON, MI 48430-3327
Phone number: 810-714-7369
Copy
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