VDM OF MICHIGAN NPI 1801636121

NPI Information

  • NPI: 1801636121
  • Provider Name: VDM OF MICHIGAN
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 43211 DALCOMA DR STE 6
    CLINTON TOWNSHIP, MI
    ZIP 48038
  • Phone: (979) 900-7151

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NPI Details

VDM OF MICHIGAN is a primary care clinic center in Clinton Township, MI. VDM OF MICHIGAN NPI is 1801636121. The provider is registered as an organization entity type.

The provider's business location address is:

43211 DALCOMA DR STE 6
CLINTON TOWNSHIP, MI
ZIP 48038-309
Phone: (979) 900-7151
Fax: (800) 878-3830

The provider's authorized official is Marilou Oro .
The authorized official title is Authorized Member and has the following contact phone number (346) 471-8251.

The enumeration date for this NPI number is 5/27/2024 and was last updated on 6/3/2024.

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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QP2300XClinic/CenterPrimary CareYes
3363LF0000XNurse PractitionerFamilyNo

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: 3/30/2025

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