| Organization Name: | WADHAMS FAMILY CARE PLLC |
| NPI Number: | 1073764932 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAY L ROBBINS (PRACTICE MANAGER) |
| Mailing Address: | 5312 Lapeer Rd Kimball |
| State: | MI US |
| Postal Code: | 480741424 |
| Phone Number: | 8109842693 |
| Fax Number: | 8109842669 |
| NPI Enumeration Date: | 10/08/2008 |
| NPI Last Update Date: | 01/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | PS012787 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |