| MD Regeneration, PLLC | |
|
333 W 7th St Ste 100 Royal Oak MI 48067-2510 | |
| (248) 561-0602 | |
| Not Available |
| Full Name | MD Regeneration, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 W 7th St Ste 100, Royal Oak, Michigan |
| Authorized Official Name and Position | Mackenzie Jennings (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6174544916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| MD Regeneration, PLLC 41000 Woodward Ave Ste 350 Bloomfield MI 48304-5092 Ph: (248) 404-0501 | MD Regeneration, PLLC 333 W 7th St Ste 100 Royal Oak MI 48067-2510 Ph: (248) 561-0602 |
| NPI Number | 1780183186 |
|---|---|
| Provider Enumeration Date | 02/12/2018 |
| Last Update Date | 08/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780183186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101020789 (Michigan) | Primary |
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