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1003550054
PREMISE HEALTH OF MICHIGAN MEDICAL, P.C
TROY, MI
NPI
1003550054
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Entity Type
Organization
Authorized Contact
JONATHAN LEIZMAN
President
216-479-9063
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center Multi-Specialty
Enumeration Date
2022-04-26
Last Update Date
2022-08-19
Business Address
PREMISE HEALTH OF MICHIGAN MEDICAL, P.C
1760 MAPLELAWN DR
TROY, MI 48084-4604
Phone number: 615-468-3188
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Mailing Address
PREMISE HEALTH OF MICHIGAN MEDICAL, P.C
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number:
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