Organization

Livernois Family Medical Svc

Medical Physician Assistant in Detroit, MI(View on Map)

Legal Business Name

Livernois Family Medical Svc

NPI Number

1063762003

NPI Type

Organization

Enumeration Date

09/18/2012

Specialties

(Taxonomies)

Code

363AM0700X
282N00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

18254 LIVERNOIS AVE
18254 LIVERNOIS AVE

City

Detroit
Detroit

State

MI
MI

Postal Code

48221-4214
48221-4214

Country

US
US

Telephone Number

N/A
(313) 861-4400

Authorized Official

Name

Dr. Murtaza Hussain Hussain

Title or Position

PHYSICIAN

Telephone Number

(313) 861-4400

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/18/2012

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