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DIRECT MEDICAL PLLC NPI 1053672923


NPI Information

NPI: 1053672923
Provider Name: DIRECT MEDICAL PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
22150 GREENFIELD RD
SUITE 203
OAK PARK, MI
ZIP 48237
Phone: (248) 246-0533
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DIRECT MEDICAL PLLC is a general practice in Oak Park, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DIRECT MEDICAL PLLC NPI is 1053672923. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22150 GREENFIELD RD
SUITE 203
OAK PARK, MI
ZIP 48237-535
Phone: (248) 246-0533

The provider's authorized official is Suzanne Osantowski .
The authorized official title is Owner/nurse and has the following contact phone number (248) 246-0533.

The enumeration date for this NPI number is 6/6/2012 and was last updated on 6/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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