Integrated Therapy And Diagnostics,llc

NPI 1255478459 - Clinic/Center - 261QP2000X

NPI Details
NPI 1255478459
Enumeration Date 01/30/2007
Last Updated 11/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRANDON L BRANDON
Position DIRECTOR
Phone (248) 569-3002
Fax
Practice Location
23077 GREENFIELD RD STE 110
SOUTHFIELD MI, 48075-3744, US
Phone (248) 569-3002
Fax
Business Location
23077 GREENFIELD RD STE 110
SOUTHFIELD MI, 48075-3744, US
Phone (248) 569-3002
Fax (248) 569-3008
Toxanomy
Taxonomy Code 261QP2000X
License State Michigan
License Number D0637C
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According to our database, Integrated Therapy And Diagnostics,llc NPI is 1255478459, taxonomy code is 261QP2000X and license number is D0637C, license state is located at Michigan. Integrated Therapy And Diagnostics,llc physically located at 23077 Greenfield Rd Ste 110, Southfield MI, 48075-3744. NPI Number 1033115704 has the healthcare provider type.

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1255478459 NPI number is provided on an as is basis without warranty of any kind. 1255478459 is maintained by the National Plan & Provider Enumeration System. The contents of Integrated Therapy And Diagnostics,llc are for informational purposes only.