| NPI | 1164991436 |
|---|---|
| Doing Business As | PRIVAMD |
| Entity Type | Organization |
| Authorized Contact | HEIDI NAPARELA CEO/Owner 231-215-8086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |