institution
First Ideal Enterprises Inc.
General Practice Physician in Southfield, Michigan
NPI 1740478270

First Ideal Enterprises Inc. is a General Practice Physician based in W Bloomfield, MI. First Ideal Enterprises Inc. practices in Southfield, MI. The NPI Number for First Ideal Enterprises Inc. is 1740478270 and holds a License No. AO060924 (Michigan).

The current practice location address for First Ideal Enterprises Inc. is 21700 Northwestern Hwy, Southfield, MI and can be reached out via phone at 248-440-0920 and via fax at 248-440-0929.

Location: 21700 Northwestern Hwy, Southfield, MI, 48325-1062
institution
Provider Profile Details
NPI Number
1740478270
Provider Name
First Ideal Enterprises Inc.
Credential
Provider Entity Type
Organization
Address
21700 Northwestern Hwy, Southfield, MI, 48325-1062
Phone Number
248-440-0920
Fax Number
248-440-0929
Provider Enumeration Date
10/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0F33532 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
21700 Northwestern Hwy
City
State
Zip
48075-4906
Phone Number
248-440-0920
Fax Number
248-440-0929
person
Provider Business Mailing Address Details
Address
21700 Northwestern Hwy
City
State
Zip
48075-4906
Phone Number
248-440-0920
Fax Number
248-440-0929
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
AO060924 (Michigan)
Definition
Definition to come...
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