# HOME VISIT MD PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HOME VISIT M.D., PLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205964012
- **Authorized official:** DR. REGINALD N EBURUCHE SR. MD (OWNER)
- **Authorized official phone:** (248) 440-6090

## Contact information

- **Practice address:** 26206 W 12 MILE RD, STE 302, SOUTHFIELD, MI 48034-8501
- **Practice address phone:** (248) 440-6090
- **Practice address fax:** (248) 440-6094
- **Mailing address:** P. O. BOX 250077, FRANKLIN, MI 48025
- **Mailing address phone:** (248) 440-6090
- **Mailing address fax:** (248) 440-6094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301080385 | MI | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 03/09/2016