| Brightside | |
|
23143 Julieann Ct Farmington Hills MI 48335-4076 | |
| (248) 914-6115 | |
| Not Available |
| Full Name | Brightside |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 23143 Julieann Ct, Farmington Hills, Michigan |
| Authorized Official Name and Position | Krishna Jakkula (FOUNDER) |
| Authorized Official Contact | 2489146115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside 23143 Julieann Ct Farmington Hills MI 48335-4076 Ph: (248) 914-6115 | Brightside 23143 Julieann Ct Farmington Hills MI 48335-4076 Ph: (248) 914-6115 |
| NPI Number | 1780450916 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780450916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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