| Professional Home Doctors | |
|
18444 W. 10mile Road Suite 204 Southfield MI 48075-2626 | |
| (248) 539-4640 | |
| (248) 539-4645 |
| Full Name | Professional Home Doctors |
|---|---|
| Speciality | Internal Medicine |
| Location | 18444 W. 10mile Road, Southfield, Michigan |
| Authorized Official Name and Position | Orlando Washington (MANAGER) |
| Authorized Official Contact | 2485069098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Home Doctors 3200 Greenfield Rd Ste 300 Dearborn MI 48120-1800 Ph: (313) 334-6395 | Professional Home Doctors 18444 W. 10mile Road Suite 204 Southfield MI 48075-2626 Ph: (248) 539-4640 |
| NPI Number | 1689956260 |
|---|---|
| Provider Enumeration Date | 09/09/2011 |
| Last Update Date | 09/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689956260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301038582 (Michigan) | Primary |
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