PAVILION FAMILY PRACTICE PC

SOUTHFIELD, MI
NPI1346432184
Entity TypeOrganization
Authorized ContactSTANLEY K SAUNDERS
President
248-423-0700
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2007-08-15
Last Update Date2009-03-05
Business Address
PAVILION FAMILY PRACTICE PC
23077 GREENFIELD RD SUITE 195
SOUTHFIELD, MI 48075-3709
Phone number: 248-423-0700
Mailing Address
PAVILION FAMILY PRACTICE PC
1547 MOMENTUM PL
CHICAGO, IL 60689-5315
Phone number: 248-423-0700
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