Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Family Medicine PC

Organization Family Medicine Physician · NPI 1417921628

Family Medicine PC provides Family Medicine Physician services in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29255 Northwestern Hwy Ste 203
Southfield, MI 48034-1018 Not confirmed with CMS for 14 years — call before visiting
Phone: (248) 557-0535
Fax: (248) 557-6145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence RT008998 (MI)

Record details

NPI number1417921628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rodrigo Tobar — Secretary/Treasurer · (248) 557-0535
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJanuary 18, 2012
Mailing address29255 Northwestern Hwy, Suite 203, Southfield, MI 48034-1018

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