| Elite Visiting Physicians | |
|
24100 Southfield Rd Ste 105 Southfield MI 48075-2850 | |
| (313) 308-5120 | |
| Not Available |
| Full Name | Elite Visiting Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 24100 Southfield Rd Ste 105, Southfield, Michigan |
| Authorized Official Name and Position | Leonard Ellison (PRESIDENT) |
| Authorized Official Contact | 3133085120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Visiting Physicians 24100 Southfield Rd Ste 105 Southfield MI 48075-2850 Ph: (313) 308-5120 | Elite Visiting Physicians 24100 Southfield Rd Ste 105 Southfield MI 48075-2850 Ph: (313) 308-5120 |
| NPI Number | 1316500267 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 04/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316500267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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