| Advance Visiting Physicians Llc | |
|
15945 19 Mile Rd Suite 103 Clinton Township MI 48038-1147 | |
| (586) 286-2350 | |
| (586) 286-8742 |
| Full Name | Advance Visiting Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15945 19 Mile Rd, Clinton Township, Michigan |
| Authorized Official Name and Position | Sumalee Kanchanaryana (OWNER) |
| Authorized Official Contact | 5862862350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Visiting Physicians Llc 15945 19 Mile Rd Suite 103 Clinton Township MI 48038-1147 Ph: (586) 286-2350 | Advance Visiting Physicians Llc 15945 19 Mile Rd Suite 103 Clinton Township MI 48038-1147 Ph: (586) 286-2350 |
| NPI Number | 1588947022 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 09/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588947022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | RU033666 (Michigan) | Primary |
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