NPI | 1831433218 |
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Former Legal Business Name | FSC OF MICHIGAN GROUP, PC; FSC OF MICHIGAN PC GROUP, INC.: |
Entity Type | Organization |
Authorized Contact | CINDY RITA BECKER Secretary 949-398-8413 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4704203621) |
Enumeration Date | 2012-11-25 |
Last Update Date | 2015-08-12 |