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

Family Medicine PC

Organization Family Medicine Physician · NPI 1417921628

Family Medicine PC is a Family Medicine Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

29255 Northwestern Hwy Ste 203
Southfield, MI 48034-1018
Phone: (248) 557-0535
Fax: (248) 557-6145
Show map & directions

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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