Activate Healthcare Michigan

NPI #1437577061 in Madison Heights, Michigan

Provider Information

NPI Number: 1437577061
Entity Type: Organization
Organization Name: Activate Healthcare Michigan
Primary Specialty: Family Medicine
Enumeration Date: Apr 1, 2014
Last Updated: Apr 1, 2014

Practice Location

Address: 555 HORACE BROWN DR
Address 2: SUITE 200
City: Madison Heights
State: Michigan
ZIP Code: 48071-1867
Phone: (773) 697-3144

Authorized Official

Name: DEBRA A. GEIHSLER
Title: PRINCIPAL
Phone: (773) 697-3144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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