| Vktr Visiting Physician Group PLLC | |
|
4777 E Outer Dr Detroit MI 48234-3241 | |
| (248) 914-1681 | |
| Not Available |
| Full Name | Vktr Visiting Physician Group PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4777 E Outer Dr, Detroit, Michigan |
| Authorized Official Name and Position | Benjamin Hollaway (FINANCIAL OFFICER) |
| Authorized Official Contact | 2489141681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vktr Visiting Physician Group PLLC 17663 W 10 Mile Rd Southfield MI 48075-2756 Ph: (248) 914-1681 | Vktr Visiting Physician Group PLLC 4777 E Outer Dr Detroit MI 48234-3241 Ph: (248) 914-1681 |
| NPI Number | 1639837487 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 11/29/2021 |
| Certification Date | 11/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639837487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 251E00000X | Home Health | () | Secondary |
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