| NPI | 1295865954 |
|---|---|
| Doing Business As | MEDICAL CLINIC OF NORTHVILLE |
| Entity Type | Organization |
| Authorized Contact | ROSS A SUMMERS Physician Owner 248-349-0627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301074604) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301057732) |
| 207Q00000X Family Medicine (Licence: MI 4301071154) | |
| 207R00000X Internal Medicine (Licence: MI 4301068380) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301058039) | |
| 208600000X Surgery (Licence: MI 4301046792) | |
| 207Q00000X Family Medicine (Licence: MI 4301082667) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2011-01-11 |