ENVISION MEDICAL GROUP PLLC NPI 1235456609

NPI Information

NPI: 1235456609
Provider Name: ENVISION MEDICAL GROUP PLLC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

CLIA Number: 23D1039356

Address:
422 N CENTER ST
SUITE B
NORTHVILLE, MI
ZIP 48167
Phone: (248) 449-7156
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ENVISION MEDICAL GROUP PLLC is a foot surgery podiatrist in Northville, MI. ENVISION MEDICAL GROUP PLLC NPI is 1235456609. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

422 N CENTER ST
SUITE B
NORTHVILLE, MI
ZIP 48167-224
Phone: (248) 449-7156

The provider's authorized official is Michael Wayne .
The authorized official title is Managing Partner and has the following contact phone number (248) 348-8700.

The CLIA number assigned to this NPI record is 23D1039356 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2010 and was last updated on 2/23/2021.

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
1	207Q00000X	Family Medicine				No
2	213ES0131X	Podiatrist	Foot Surgery			Yes

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

NPI Synchronization or Removal

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