Organization · Type 2 NPI

First Ideal Enterprises Inc.

General Practice Physician · Southfield, MI

NPI number 1740478270 Active

Practice location

21700 Northwestern Hwy, Suite 801
Southfield, MI 48075-4906

Fax (248) 440-0929

Mailing address

PO Box 251062
West Bloomfield, MI 48325-1062

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XAO060924 (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.

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About NPI 1740478270

First Ideal Enterprises Inc.'s National Provider Identifier is 1740478270, issued on Oct 10, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Southfield, MI. The record was last updated on Apr 22, 2009.