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2300 Haggerty Rd Suite 2160 West Bloomfield MI 48323-2184 | |
| (248) 539-0899 | |
| (248) 539-0482 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 2300 Haggerty Rd, West Bloomfield, Michigan |
| Authorized Official Name and Position | Paul Smith (PRESIDENT) |
| Authorized Official Contact | 2486568500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8391 Commerce Rd Suite 103 Commerce Township MI 48382-4489 Ph: (248) 363-2641 | 2300 Haggerty Rd Suite 2160 West Bloomfield MI 48323-2184 Ph: (248) 539-0899 |
| NPI Number | 1760828198 |
|---|---|
| Provider Enumeration Date | 05/13/2013 |
| Last Update Date | 10/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760828198 | NPI | - | NPPES |
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