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Organization
MICHIGAN HEALTHCARE PROFESSIONALS
Active
Organization
MICHIGAN HEALTHCARE PROFESSIONALS
Active
Other names
SLEEP DISORDER CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHAELENE GOGOLIN (ASS SECRETARY OF CREDENTIALING)
(248) 851-1430
Entity
Organization
Contact information
Practice address
29245 RYAN RD, SUITE 400, WARREN, MI 48092-4284
(586) 576-0106
(586) 576-0235
Mailing address
29992 NORTHWESTERN HWY, SUITE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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