SOUTHFORT FAMILY CLINIC PC

SOUTHGATE, MI
NPI1184801318
Entity TypeOrganization
Authorized ContactEDWARD NAZARENO
President
734-281-2150
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301067719)
Enumeration Date2008-01-30
Last Update Date2008-01-30
Business Address
SOUTHFORT FAMILY CLINIC PC
13650 FORT ST
SOUTHGATE, MI 48195-1152
Phone number: 734-281-2150
Mailing Address
SOUTHFORT FAMILY CLINIC PC
13650 FORT ST
SOUTHGATE, MI 48195-1152
Phone number: 734-281-2150
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