Fundamental Health, Pllc

NPI #1699310300 in Birmingham, Michigan

Provider Information

NPI Number: 1699310300
Entity Type: Organization
Organization Name: Fundamental Health, Pllc
Primary Specialty: Physician Assistant
Enumeration Date: Nov 18, 2019
Last Updated: Nov 18, 2019

Practice Location

Address: 725 S ADAMS RD STE 266
City: Birmingham
State: Michigan
ZIP Code: 48009-6999
Phone: (248) 252-2829

Authorized Official

Name: MARISA CLAYSEN
Title: PA-C
Phone: (248) 252-2829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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