PROVIDER SERVICE ORGANIZATION

CANTON, MI
NPI1447610704
Entity TypeOrganization
Authorized ContactRAMON VILLANUEVA
President
734-516-4239
Organization Subpart ?No
Primary Taxonomy207QG0300X Family Medicine, Geriatric Medicine
Enumeration Date2016-02-29
Last Update Date2016-06-06
Business Address
PROVIDER SERVICE ORGANIZATION
7233 PROVINCIAL CT
CANTON, MI 48187-2121
Phone number: 734-516-4239
Mailing Address
PROVIDER SERVICE ORGANIZATION
7233 PROVINCIAL CT
CANTON, MI 48187-2121
Phone number: 734-516-4239
Similar providers in Canton, MI
WILLIAM F ROLLINS
DANIEL DEGUZMAN, M.D.P.C.
KENNETH J GRIMM
RADIANCEMD PLLC
SAMIH MIKE AJAMI
ANITA SINHA
HUMA KHAN
DASHER MEDICAL GROUP PLLC
CARING HOME DOCTORS PC
CAREN ALBERCOOK