Premise Health of Michigan Medical, P.c
NPI #1669146726 in Madison Heights, Michigan
Provider Information
- NPI Number
- 1669146726
- Entity Type
- Organization
- Organization Name
- Premise Health of Michigan Medical, P.c
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Aug 3, 2021
- Last Updated
- Aug 19, 2022
Practice Location
- Address
- 300 W 13 MILE RD
- City
- Madison Heights
- State
- Michigan
- ZIP Code
- 48071-1853
- Phone
- (248) 837-2625
Authorized Official
- Name
- JONATHAN LEIZMAN
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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