# VITALITY VISITING PHYSICIANS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073230876
- **Authorized official:** VARSHA BALDRIDGE (OWNER)
- **Authorized official phone:** (248) 862-5311

## Contact information

- **Practice address:** 29217 FORD RD STE 109, GARDEN CITY, MI 48135-2890
- **Practice address phone:** (248) 862-5311
- **Practice address fax:** (248) 671-0175
- **Mailing address:** 4007 CARPENTER RD \# 391, YPSILANTI, MI 48197-9644
- **Mailing address phone:** (248) 862-5311
- **Mailing address fax:** (248) 671-0175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 10/21/2022
- **Last updated:** 06/19/2026