| Real Estate 4000 Llc | |
|
19130 Sumpter Rd Sumpter Twp MI 48111-8724 | |
| (313) 485-1411 | |
| Not Available |
| Full Name | Real Estate 4000 Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19130 Sumpter Rd, Sumpter Twp, Michigan |
| Authorized Official Name and Position | Valerie Makhool (CREDENTIALING) |
| Authorized Official Contact | 3133775331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Estate 4000 Llc 27055 Northmore St Dearborn Heights MI 48127-3643 Ph: (313) 377-5331 | Real Estate 4000 Llc 19130 Sumpter Rd Sumpter Twp MI 48111-8724 Ph: (313) 485-1411 |
| NPI Number | 1619463023 |
|---|---|
| Provider Enumeration Date | 07/09/2018 |
| Last Update Date | 07/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619463023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |