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Organization
PATIENT DIAGNOSTICS PLLC
Active
Organization
PATIENT DIAGNOSTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS TISDALE MD (CEO & MEDICAL DIRECTOR)
(248) 469-5646
Entity
Organization
Contact information
Practice address
6510 LEGACY WOODS TRL, WEST BLOOMFIELD, MI 48322-4804
(248) 469-5646
Mailing address
6510 LEGACY WOODS TRL, WEST BLOOMFIELD, MI 48322-4804
(248) 469-5646
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
183500000X
Pharmacist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0005X
Hypertension Specialist Physician
—
—
2083C0008X
Clinical Informatics Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084N0400X
Neurology Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
246Z00000X
Other Specialist/Technologist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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