| NPI | 1629001235 |
|---|---|
| Doing Business As | MY FAMILY DOCTOR |
| Entity Type | Organization |
| Authorized Contact | HARSHAVARDHAN R KRISHNA Medical Director 313-891-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 4301070833) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2022-03-30 |