is a Specialist in Eastpointe, Michigan. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1205093275. The last update date is .
's current location address is 21331 Kelly Rd, Eastpointe, Michigan. You can contact this provider via phone number 5864988922. The mailing address for is 21331 Kelly Rd, Eastpointe, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 21331 Kelly Rd, Eastpointe, Michigan |
| Phone Number | 5864988922 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1205093275 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 21331 Kelly Rd |
|---|---|
| City | Eastpointe |
| State | Michigan (MI) |
| Post Code | 480213265 |
| Phone Number | 5864988922 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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