TACTICAL MEDICAL PROVIDERS NPI 1801152590

NPI Information

NPI: 1801152590
Provider Name: TACTICAL MEDICAL PROVIDERS
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
44471 MIDWAY DR
NOVI, MI
ZIP 48375
Phone: (248) 773-8923
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TACTICAL MEDICAL PROVIDERS is a multi-specialty clinic center in Novi, MI. TACTICAL MEDICAL PROVIDERS NPI is 1801152590. The provider is registered as an organization entity type.

The provider's business location address is:

44471 MIDWAY DR
NOVI, MI
ZIP 48375-949
Phone: (248) 773-8923

The provider's authorized official is Glenn Cipullo .
The authorized official title is President and has the following contact phone number (248) 773-8923.

The enumeration date for this NPI number is 4/6/2012 and was last updated on 3/30/2014.

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	261QM1300X	Clinic/Center	Multi-Specialty	4301078278	MICHIGAN	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

NPI Synchronization or Removal

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