| Divinty Visiting Physicians | |
|
31513 Northwestern Hwy Farmington Hills MI 48334-2528 | |
| (248) 539-4640 | |
| (248) 539-4645 |
| Full Name | Divinty Visiting Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 31513 Northwestern Hwy, Farmington Hills, Michigan |
| Authorized Official Name and Position | Chansey Smith (OWNER) |
| Authorized Official Contact | 2485394640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divinty Visiting Physicians 18597 W 10 Mile Rd Suite 05 Southfield MI 48075-2663 Ph: (248) 423-2988 | Divinty Visiting Physicians 31513 Northwestern Hwy Farmington Hills MI 48334-2528 Ph: (248) 539-4640 |
| NPI Number | 1790925352 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 02/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790925352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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