| NPI | 1407392970 |
|---|---|
| Doing Business As | FAMILY MEDICAL CENTER OF MI-SOUTHGATE |
| Entity Type | Organization |
| Authorized Contact | ED LARKINS CEO 734-850-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MI H19CS02960) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-09-22 |