# MICHIGAN BIRDIE HEALTH PC

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

## Provider details

- **NPI number:** 1225893050
- **Authorized official:** BRUNO VAN TUYKOM (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (347) 510-6956

## Contact information

- **Practice address:** 40600 ANN ARBOR RD E STE 201, PLYMOUTH, MI 48170-4675
- **Practice address phone:** (347) 510-6956
- **Mailing address:** 340 11TH ST APT 4A, BROOKLYN, NY 11215-4056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2024
- **Last updated:** 06/27/2024