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Organization
MICHIGAN BIRDIE HEALTH PC
Active
Organization
MICHIGAN BIRDIE HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUNO VAN TUYKOM (AUTHORIZED OFFICIAL)
(347) 510-6956
Entity
Organization
Contact information
Practice address
40600 ANN ARBOR RD E STE 201, PLYMOUTH, MI 48170-4675
(347) 510-6956
Mailing address
340 11TH ST APT 4A, BROOKLYN, NY 11215-4056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
06/27/2024
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