NPI 1629200159

Designed Altobaric Technology INC

Organisation Family Medicine Physician South Lyon, MI

Practice location

Address: 21800 Pontiac Trl, South Lyon, MI 48178-9499
Phone: (248) 486-3636
Mailing address: 3061 Christy Way, Saginaw, MI 48603-2267

Authorised official

Name: Stephen D Guthrie
Title: PHD
Phone: (248) 486-3636

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 4301089220 (MI)

Other Family Medicine providers in Michigan →

Registry record

NPI: 1629200159
Entity type: Organization
NPI issued: 18 Aug 2009
Record last updated: 18 Aug 2009

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.