| |
6525 W Maple Rd, Ste 225, West Bloomfield, MI 48322 | |
(248) 406-1141 | |
(248) 406-6455 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center |
Location | 6525 W Maple Rd, West Bloomfield, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1972161875 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980 | 6525 W Maple Rd, Ste 225, West Bloomfield, MI 48322 Ph: (248) 406-1141 |