NPI | 1942458567 |
---|---|
Doing Business As | MY FAMILY DOCTOR |
Entity Type | Organization |
Authorized Contact | MICHAEL L GAMBEL Owner/President 734-282-5502 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: 4301042047) |
Enumeration Date | 2008-09-08 |
Last Update Date | 2011-04-08 |