DEFPOTEC CORPORATION NPI 1306395546

NPI Information

  • NPI: 1306395546
  • Provider Name: DEFPOTEC CORPORATION
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Former Legal Business Name: DEFPOTEC CORPORATION
  • Address: 17260 W 10 MILE RD
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (248) 809-4633

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NPI Details

DEFPOTEC CORPORATION is a point of service in Southfield, MI. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. DEFPOTEC CORPORATION NPI is 1306395546. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Defpotec Corporation.

The provider's business location address is:

17260 W 10 MILE RD
SOUTHFIELD, MI
ZIP 48075-949
Phone: (248) 809-4633

The provider's authorized official is Kristie Volaura Lee .
The authorized official title is Authorized Official and has the following contact phone number (248) 595-8271.

The enumeration date for this NPI number is 9/29/2016 and was last updated on 10/24/2019.

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
1132700000XDietary ManagerNo
2163WG0600XRegistered NurseGerontologyNo
3163WP0000XRegistered NursePain ManagementNo
4305S00000XPoint of ServiceYes

What is NPI?

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This page was last updated on: 11/21/2025

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