# MARIVIC D. MASSAND MD,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** michigan healthcare physicians,PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053563296
- **Authorized official:** MR. PRAKASH PRIBHDAS MASSAND (ADMINISTRATOR)
- **Authorized official phone:** (313) 737-8000

## Contact information

- **Practice address:** 971 CANTERBURY RD, GROSSE POINTE WOODS, MI 48236-1252
- **Practice address phone:** (313) 885-4489
- **Practice address fax:** (313) 899-7092
- **Mailing address:** 971 CANTERBURY RD, GROSSE POINTE WOODS, MI 48236-1252
- **Mailing address phone:** (313) 885-4489
- **Mailing address fax:** (313) 899-7092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 4301036945 | MI | Yes |

## Other

- **Enumeration date:** 10/21/2008
- **Last updated:** 12/16/2008