OrganizationActive
Farmbrook Family Practice PLLC
NPI 1417384199 · Health Maintenance Organization · Southfield, MI
Provider details
- NPI number
- 1417384199
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Andrei Katychev, Owner(248) 470-6038
- License
- 4301085733 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
29877 Telegraph Rd
Suite 302
Southfield, MI 48034-1332
Phone: (248) 796-7486
Fax: (248) 350-3519
Approximate (ZIP-level) locationGet directions
Mailing address
23688 Paddock Dr
Farmington Hills, MI 48336-2226
Registry dates
- Enumerated
- 2013-09-26
- Last updated
- 2016-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.