| Healthy Living Internal Medicine Pllc | |
|
2300 Haggerty Rd Ste 2190 W Bloomfield MI 48323-2192 | |
| (248) 960-1122 | |
| (248) 246-0506 |
| Full Name | Healthy Living Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2300 Haggerty Rd Ste 2190, W Bloomfield, Michigan |
| Authorized Official Name and Position | Thomas Li (PRESIDENT) |
| Authorized Official Contact | 2482276483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Living Internal Medicine Pllc 2300 Haggerty Rd Ste 2190 West Bloomfield MI 48323-2192 Ph: (248) 960-1122 | Healthy Living Internal Medicine Pllc 2300 Haggerty Rd Ste 2190 W Bloomfield MI 48323-2192 Ph: (248) 960-1122 |
| NPI Number | 1386255487 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 12/17/2020 |
| Medicare PECOS PAC ID | 3779996707 |
|---|---|
| Medicare Enrollment ID | O20210111002630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386255487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas H Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649224403 PECOS PAC ID: 9133219348 Enrollment ID: I20071212000092 |
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