| Vpa PC Specialty Pha Mi | |
|
21540 W 11 Mile Rd Ste 200 Southfield MI 48076-3843 | |
| (248) 352-2000 | |
| (248) 352-8800 |
| Full Name | Vpa PC Specialty Pha Mi |
|---|---|
| Speciality | Family Medicine |
| Location | 21540 W 11 Mile Rd Ste 200, Southfield, Michigan |
| Authorized Official Name and Position | Jeffrey Stevens (OWNER) |
| Authorized Official Contact | 2488246600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vpa PC Specialty Pha Mi Po Box 639295 Dept 93394 Cincinnati OH 45263-9295 Ph: (248) 352-2000 | Vpa PC Specialty Pha Mi 21540 W 11 Mile Rd Ste 200 Southfield MI 48076-3843 Ph: (248) 352-2000 |
| NPI Number | 1245859446 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 10/21/2022 |
| Certification Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245859446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
| 208D00000X | General Practice | () | Secondary |
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