| Life Iv Therapy Pllc | |
|
1325 N Main St Ste B Adrian MI 49221-1721 | |
| (517) 273-3210 | |
| Not Available |
| Full Name | Life Iv Therapy Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1325 N Main St Ste B, Adrian, Michigan |
| Authorized Official Name and Position | Justin Robert Henry (CEO) |
| Authorized Official Contact | 5172733210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Iv Therapy Pllc 1325 N Main St Ste B Adrian MI 49221-1721 Ph: (517) 273-3210 | Life Iv Therapy Pllc 1325 N Main St Ste B Adrian MI 49221-1721 Ph: (517) 273-3210 |
| NPI Number | 1396563821 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 11/04/2024 |
| Medicare PECOS PAC ID | 8123556909 |
|---|---|
| Medicare Enrollment ID | O20250107002205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396563821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
| Provider Name | Victor J Cherfan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841419421 PECOS PAC ID: 9234281296 Enrollment ID: I20090722000398 |
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