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ADVANCED THERAPEUTIC MEDICAL SERVICES PLLC NPI 1063735934


NPI Information

NPI: 1063735934
Provider Name: ADVANCED THERAPEUTIC MEDICAL SERVICES PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
20905 GREENFIELD RD
SUITE 205M
SOUTHFIELD, MI
ZIP 48075
Phone: (313) 837-0560
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ADVANCED THERAPEUTIC MEDICAL SERVICES PLLC is a general practice in Southfield, 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 ADVANCED THERAPEUTIC MEDICAL SERVICES PLLC NPI is 1063735934. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20905 GREENFIELD RD
SUITE 205M
SOUTHFIELD, MI
ZIP 48075-360
Phone: (313) 837-0560

The provider's authorized official is Otis Crawford .
The authorized official title is Owner and has the following contact phone number (313) 837-0560.

The enumeration date for this NPI number is 3/8/2010 and was last updated on 3/8/2010.


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
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: 4/28/2024

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