MICHIGAN HEALTHCARE PROFESSIONALS NPI 1093107682

NPI Information

NPI: 1093107682
Provider Name: MICHIGAN HEALTHCARE PROFESSIONALS

Doing Business As: SLEEP DISORDER CLINIC

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
29245 RYAN RD
SUITE 400
WARREN, MI
ZIP 48092
Phone: (586) 576-0106
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MICHIGAN HEALTHCARE PROFESSIONALS is a sleep disorder diagnostic clinic center in Warren, MI. MICHIGAN HEALTHCARE PROFESSIONALS NPI is 1093107682. The provider is registered as an organization entity type.
The provider Is Doing Business As Sleep Disorder Clinic.

The provider's business location address is:

29245 RYAN RD
SUITE 400
WARREN, MI
ZIP 48092-284
Phone: (586) 576-0106
Fax: (586) 576-0235

The provider's authorized official is Michaelene Gogolin .
The authorized official title is Ass Secretary Of Credentialing and has the following contact phone number (248) 851-1430.

The CLIA number assigned to this NPI record is 23D0714112 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2015 and was last updated on 2/19/2015.

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	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic			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: 4/28/2024

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