| Ga Visiting Providers, PLLC | |
|
3212 Winchester Rd West Bloomfield MI 48322-2420 | |
| (248) 763-8266 | |
| Not Available |
| Full Name | Ga Visiting Providers, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3212 Winchester Rd, West Bloomfield, Michigan |
| Authorized Official Name and Position | Jolene Kassab (PART-OWNER) |
| Authorized Official Contact | 2487638266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ga Visiting Providers, PLLC 3212 Winchester Rd West Bloomfield MI 48322-2420 | Ga Visiting Providers, PLLC 3212 Winchester Rd West Bloomfield MI 48322-2420 Ph: (248) 763-8266 |
| NPI Number | 1639869860 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639869860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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