Internal Medicine and Vitality, Pllc

NPI #1073357737 in Portage, Michigan

Provider Information

NPI Number: 1073357737
Entity Type: Organization
Organization Name: Internal Medicine and Vitality, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jun 19, 2024
Last Updated: Jan 6, 2025

Practice Location

Address: 6505 CONSTITUTION BLVD STE C
City: Portage
State: Michigan
ZIP Code: 49024-1605
Phone: (269) 762-4120

Authorized Official

Name: DR. AMANDA R HENRY, DO
Title: OWNER
Phone: (269) 762-4120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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