SERENITY PHYSICIAN NPI 1861591687

NPI Information

SERENITY PHYSICIAN is a home modifications contractor in Dearborn, MI. SERENITY PHYSICIAN NPI is 1861591687. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Serenity Physician.

The provider's business location address is:

1009 DREXEL ST
DEARBORN, MI
ZIP 48128-639
Phone: (313) 429-3164
Fax: (313) 429-3165

The provider's authorized official is Nicole Simms .
The authorized official title is Manager and has the following contact phone number (313) 320-5356.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/22/2020.

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:

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