Provider Demographics
NPI:1679950489
Name:JAMES S GARFIELD DO PC
Entity Type:Organization
Organization Name:JAMES S GARFIELD DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:S
Authorized Official - Last Name:GARFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:810-629-2285
Mailing Address - Street 1:17100 SILVER PKWY
Mailing Address - Street 2:STE D
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430
Mailing Address - Country:US
Mailing Address - Phone:810-629-2285
Mailing Address - Fax:810-629-3586
Practice Address - Street 1:17100 SILVER PKWY
Practice Address - Street 2:STE D
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-3468
Practice Address - Country:US
Practice Address - Phone:810-629-2285
Practice Address - Fax:810-629-3856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101009666207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E26067Medicare UPIN