HEARTFELT PHYSICIAN SERVICES PLLC NPI 1578505129

NPI Information

HEARTFELT PHYSICIAN 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 HEARTFELT PHYSICIAN SERVICES, PLLC NPI is 1578505129. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20245 W 12 MILE RD
STE 120
SOUTHFIELD, MI
ZIP 48076-409
Phone: (248) 552-1327
Fax: (586) 859-5729

The provider's authorized official is Rebecca Kathleene Motley .
The authorized official title is President and has the following contact phone number (248) 552-1327.

The CLIA number assigned to this NPI record is 23D1064376 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 12/18/2020.

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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