Comprehensive Medical Practice Pc

NPI 1134414212 - Internal Medicine - 207R00000X

NPI Details
NPI 1134414212
Enumeration Date 06/16/2011
Last Updated 06/16/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MIKE MIKE
Position ADMINISTRATOR
Phone (231) 233-5555
Fax
Practice Location
24609 CAVENDISH AVE E
NOVI MI, 48375-2362, US
Phone (231) 233-5555
Fax
Business Location
24609 CAVENDISH AVE E
NOVI MI, 48375-2362, US
Phone (231) 233-5555
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 5315030471
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According to our database, Comprehensive Medical Practice Pc NPI is 1134414212, taxonomy code is 207R00000X and license number is 5315030471, license state is located at Michigan. Comprehensive Medical Practice Pc physically located at 24609 Cavendish Ave E, Novi MI, 48375-2362. NPI Number 1033115704 has the healthcare provider type.

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1134414212 NPI number is provided on an as is basis without warranty of any kind. 1134414212 is maintained by the National Plan & Provider Enumeration System. The contents of Comprehensive Medical Practice Pc are for informational purposes only.