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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDER SERVICE ORGANIZATION

Active Organization

PROVIDER SERVICE ORGANIZATION is a Geriatric Medicine organization located in CANTON, Michigan. NPI 1447610704 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · CANTON, MI

Registration Details

NPI Number
1447610704
Provider Type
Organization
NPI Issued
Feb 29, 2016 (10.491252551938 yrs)
Last Updated
Jun 6, 2016

Practice Information

Address
7233 PROVINCIAL CT
CANTON, MI, 481872121
Browse MI providers · Browse ZIP 48187
Phone
7345164239
Fax
7344045292
Primary Specialty
Geriatric Medicine
207QG0300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.