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Organization
HEALTHLAND P C
Active
Organization
HEALTHLAND P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA VENNARD (ADMINISTRATOR)
(586) 445-2911
Entity
Organization
Contact information
Practice address
31700 VAN DYKE AVE STE H, WARREN, MI 48093-7949
(586) 445-2911
(586) 871-2036
Mailing address
31700 VAN DYKE AVE STE H, WARREN, MI 48093-7949
(586) 445-2911
(586) 871-2036
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
—
NULL
173000000X
Legal Medicine
—
—
261Q00000X
Clinic/Center
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
05/07/2020
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