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MICHIGAN HEALTH SPECIALIST LLC NPI 1104367242


NPI Information

NPI: 1104367242
Provider Name: MICHIGAN HEALTH SPECIALIST, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D2130211

Address:
G3494 BEECHER RD
FLINT, MI
ZIP 48532
Phone: (810) 309-9734
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MICHIGAN HEALTH SPECIALIST, LLC is a family medicine in Flint, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MICHIGAN HEALTH SPECIALIST, LLC NPI is 1104367242. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

G3494 BEECHER RD
FLINT, MI
ZIP 48532-735
Phone: (810) 309-9734

The provider's authorized official is Kevin Cuccinelli .
The authorized official title is Medical Director and has the following contact phone number (810) 309-9734.

The CLIA number assigned to this NPI record is 23D2130211 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2017 and was last updated on 3/8/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine4301111425MICHIGANYes

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: 4/28/2024

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