BETHESIDA WHOLESTIC CENTER PLLC NPI 1598980385

NPI Information

BETHESIDA WHOLESTIC CENTER PLLC is a family medicine in Southfield, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BETHESIDA WHOLESTIC CENTER PLLC NPI is 1598980385. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21411 CIVIC CENTER DR STE 102
SOUTHFIELD, MI
ZIP 48076-949
Phone: (248) 820-7030
Fax: (248) 499-1235

The provider's authorized official is Grace W Patterson .
The authorized official title is President, Ceo and has the following contact phone number (248) 820-7030.

The CLIA number assigned to this NPI record is 23D2103908 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 8/15/2019.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.