Glory Visiting Physician Pc.
NPI #1669672705 in Dearborn Hts, Michigan
Provider Information
- NPI Number
- 1669672705
- Entity Type
- Organization
- Organization Name
- Glory Visiting Physician Pc.
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Jul 18, 2007
- Last Updated
- Jun 8, 2015
Practice Location
- Address
- 4245 S BEECH DALY ST
- City
- Dearborn Hts
- State
- Michigan
- ZIP Code
- 48125-1567
- Phone
- (248) 569-5476
Authorized Official
- Name
- DR. CHARISE LANETTE VALENTINE, M. D.
- Title
- NEUROLOGIST
- Phone
- (248) 569-5476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
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