| JP Advanced Service, Corp. | |
|
31705 Plymouth Rd Livonia MI 48150-1905 | |
| (734) 266-7840 | |
| (734) 266-7841 |
| Full Name | JP Advanced Service, Corp. |
|---|---|
| Speciality | Family Medicine |
| Location | 31705 Plymouth Rd, Livonia, Michigan |
| Authorized Official Name and Position | Jorge a Azar (PRESIDENT) |
| Authorized Official Contact | 7342667840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| JP Advanced Service, Corp. 31705 Plymouth Rd Livonia MI 48150-1905 Ph: (248) 579-7177 | JP Advanced Service, Corp. 31705 Plymouth Rd Livonia MI 48150-1905 Ph: (734) 266-7840 |
| NPI Number | 1053584094 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 08/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053584094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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