Provider Demographics
NPI:1265930275
Name:ALLEN PARK FAMILY PHYSICIANS PLC
Entity type:Organization
Organization Name:ALLEN PARK FAMILY PHYSICIANS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-388-9552
Mailing Address - Street 1:7445 ALLEN RD STE 210
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-1995
Mailing Address - Country:US
Mailing Address - Phone:313-388-9552
Mailing Address - Fax:
Practice Address - Street 1:7445 ALLEN RD STE 210
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-1995
Practice Address - Country:US
Practice Address - Phone:313-388-9552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-24
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty