| Wholistic Center For Restorative Health Pllc | |
|
20905 Greenfield Rd Ste 600 Southfield MI 48075-5355 | |
| (586) 879-1921 | |
| Not Available |
| Full Name | Wholistic Center For Restorative Health Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20905 Greenfield Rd Ste 600, Southfield, Michigan |
| Authorized Official Name and Position | Camille Johnson (OWNER) |
| Authorized Official Contact | 3138588480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholistic Center For Restorative Health Pllc 19785 W 12 Mile Rd # 591 Southfield MI 48076-2584 Ph: (313) 858-8480 | Wholistic Center For Restorative Health Pllc 20905 Greenfield Rd Ste 600 Southfield MI 48075-5355 Ph: (586) 879-1921 |
| NPI Number | 1770207680 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 10/04/2022 |
| Medicare PECOS PAC ID | 2466829668 |
|---|---|
| Medicare Enrollment ID | O20221101000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770207680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Camille Elise Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558337147 PECOS PAC ID: 7113973363 Enrollment ID: I20050330000843 |
Med-share, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26222 Telegraph Rd, Suite 100, Southfield, MI 48033 Phone: 248-827-7200 Fax: 248-827-2641 | |
Maecenas Health Systems Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26677 W 12 Mile Rd, Southfield, MI 48034 Phone: 248-358-6995 | |
Ark Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-924-1429 Fax: 248-419-2431 | |
Laina Feinstein Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29829 Telegraph Rd, Suite 107, Southfield, MI 48034 Phone: 248-304-0786 Fax: 248-354-8559 | |
Magnum Managment Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17600 W 8 Mile Rd, Suite # 5, Southfield, MI 48075 Phone: 248-424-9749 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26185 Greenfield Rd, Southfield, MI 48076 Phone: 248-569-2040 Fax: 248-569-2048 | |
Forever Foy Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18161 W 13 Mile Rd Ste C2, Southfield, MI 48076 Phone: 248-731-7414 Fax: 248-234-6337 |