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1821391848
ENVISION MEDICAL GROUP PLLC
NORTHVILLE, MI
NPI
1821391848
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Entity Type
Organization
Authorized Contact
MICHAEL WAYNE
Managing Member
248-348-8700
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2010-12-14
Last Update Date
2021-01-08
Business Address
ENVISION MEDICAL GROUP PLLC
422 N CENTER ST
NORTHVILLE, MI 48167-1224
Phone number: 248-348-1131
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Mailing Address
ENVISION MEDICAL GROUP PLLC
PO BOX 27420
BELFAST, ME 04915-2026
Phone number: 405-682-3303
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