| Envision Medical Group Pllc | |
|
422 N Center St Suite B Northville MI 48167-1224 | |
| (248) 449-7156 | |
| Not Available |
| Full Name | Envision Medical Group Pllc |
|---|---|
| Speciality | Podiatrist - Foot Surgery |
| Location | 422 N Center St, Northville, Michigan |
| Authorized Official Name and Position | Michael Wayne (MANAGING PARTNER) |
| Authorized Official Contact | 2483488700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Medical Group Pllc 27275 Haggerty Rd Ste 500 Novi MI 48377-3635 Ph: (248) 741-6901 | Envision Medical Group Pllc 422 N Center St Suite B Northville MI 48167-1224 Ph: (248) 449-7156 |
| NPI Number | 1235456609 |
|---|---|
| Provider Enumeration Date | 04/26/2010 |
| Last Update Date | 02/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235456609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | (* (Not Available)) | Primary |
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