| NPI | 1063107738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS TISDALE CEO & Medical Director 248-469-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| 171400000X Health & Wellness Coach | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 183500000X Pharmacist | |
| 207RH0005X Internal Medicine, Hypertension Specialist | |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208VP0000X | |
| 225100000X Physical Therapist | |
| 225500000X Specialist/Technologist | |
| 246Z00000X Specialist/Technologist, Other | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |