NPI 1619266442

South Lyon Family Docs PC

Organisation Family Medicine Physician South Lyon, MI

Practice location

Address: 26006 Pontiac Trl, South Lyon, MI 48178-8050
Phone: (248) 437-5613
Fax: (248) 437-5694

Authorised official

Name: Brandy Eberhardt
Title: Physician
Phone: (248) 437-5613

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5101016493 (MI)

Other Family Medicine providers in Michigan →

Registry record

NPI: 1619266442
Entity type: Organization
NPI issued: 1 Apr 2011
Record last updated: 1 Jun 2016

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.