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Organization
SHC MEDICAL PARTNERS OF MICHIGAN, LLC
Active
Organization
SHC MEDICAL PARTNERS OF MICHIGAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
(502) 630-7425
Entity
Organization
Contact information
Practice address
28550 FIVE MILE RD, LIVONIA, MI 48154-3866
(734) 427-8270
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 630-7425
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
05/19/2026
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