Envision Medical Group Pllc

NPI 1003125774 - Internal Medicine - 207RC0000X

NPI Details
NPI 1003125774
Enumeration Date 09/29/2010
Last Updated 11/11/2014
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MICHAEL MICHAEL
Position MANAGING MEMBER
Phone (248) 348-1131
Fax
Practice Location
12660 TEN MILE RD
SOUTH LYON MI, 48178-9141, US
Phone (248) 348-1131
Fax
Business Location
15100 MERCANTILE DR
DEARBORN MI, 48120-1223, US
Phone
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State
License Number
Remove 1003125774 NPI Number
 

According to our database, Envision Medical Group Pllc NPI is 1003125774, taxonomy code is 207RC0000X Envision Medical Group Pllc physically located at 12660 Ten Mile Rd, South Lyon MI, 48178-9141. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1003125774 NPI number is provided on an as is basis without warranty of any kind. 1003125774 is maintained by the National Plan & Provider Enumeration System. The contents of Envision Medical Group Pllc are for informational purposes only.