Whalio Doctors

NPI 1518004084

South Lyon Family Physicians, PLLC

Organisation Family Medicine Physician South Lyon, MI

Practice location

Address
22024 Pontiac Trl, South Lyon, MI 48178-9410
Phone
(248) 437-2525
Fax
(248) 437-2526

Authorised official

Name
Patrick R Brennan
Title
Owner
Phone
(248) 437-2525

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5101014989 (MI)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5101005444 (MI)

Registry record

NPI
1518004084
Entity type
Organization
NPI issued
31 Jan 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.