Organization · Type 2 NPI
Amelia Fajardo Family Medical Clinic PC
General Practice Physician · Watervliet, MI
NPI number
1265733356
Active
Practice location
450 Medical Park Dr, Suite 100
Watervliet, MI 49098-8531
Mailing address
4305 Division Ave S
Grand Rapids, MI 49548-3315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 4301030837 (MI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
Other general practice physician providers in Watervliet
About NPI 1265733356
Amelia Fajardo Family Medical Clinic PC's National Provider Identifier is 1265733356, issued on Nov 5, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Watervliet, MI. The record was last updated on May 11, 2011.