Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
12TH STREET PLLC
Active Organization12TH STREET PLLC is a Internal Medicine organization located in WAYLAND, Michigan. NPI 1790470409 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · WAYLAND, MI
Registration Details
- NPI Number
- 1790470409
- Provider Type
- Organization
- NPI Issued
- Apr 7, 2023 (3.3179713262974 yrs)
- Last Updated
- Aug 15, 2023
Practice Information
- Address
-
3587 12TH STWAYLAND, MI, 493489569Browse MI providers · Browse ZIP 49348
- Phone
- 6166484933
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
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.