SOUTHFORT FAMILY CLINIC PC
Marriage and Family Therapists at Fort St, Southgate, MI

License number
Michigan 4301067719
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: EDWARD NAZARENO MD
Title: PRESIDENT
Phone: (734) 281-2150
Address
Address
13650 Fort St, Southgate, MI 48195
National Provider ID: 1184801318
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Southfort Family Clinic PC

Southgate, MI

Industry:
Food & Beverages, Medical Doctor's Office, Family Doctor
Doing business as:
Southfort Family Clinic
Registration:
Jun 8, 2001
Phone:
(734) 281-2150 (Phone)
Description:
Southfort Family Clinic PC is a Food and Beverages company located in 13118 Fort St, Southgate, Michigan, United States.
Addresses:
13118 Ft St, Southgate, MI 48195
13650 Ft St, Southgate, MI 48195 (Physical)
Michigan (Mailing)
State ID:
54410A
Business type:
Domestic Professional Service Corporation
President, Family Practitioner, Medical Doctor:
Edward Nazareno (President, Family Practitioner, Medical Doctor)
Agent:
Edward I Nazareno Md

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