Provider Demographics
NPI:1407519812
Name:FAMILY MEDICINE AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:FAMILY MEDICINE AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROUFAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMISKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-759-0993
Mailing Address - Street 1:3646 SWEET BAY CT
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48363-2659
Mailing Address - Country:US
Mailing Address - Phone:248-659-2136
Mailing Address - Fax:248-450-0270
Practice Address - Street 1:1579 W BIG BEAVER RD STE B5
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-3504
Practice Address - Country:US
Practice Address - Phone:248-759-0993
Practice Address - Fax:248-450-0270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty