# HEALTHLAND P C

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

## Provider details

- **NPI number:** 1346304748
- **Authorized official:** MRS. CHRISTINA VENNARD (ADMINISTRATOR)
- **Authorized official phone:** (586) 445-2911

## Contact information

- **Practice address:** 31700 VAN DYKE AVE STE H, WARREN, MI 48093-7949
- **Practice address phone:** (586) 445-2911
- **Practice address fax:** (586) 871-2036
- **Mailing address:** 31700 VAN DYKE AVE STE H, WARREN, MI 48093-7949
- **Mailing address phone:** (586) 445-2911
- **Mailing address fax:** (586) 871-2036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | — | NULL | — |
| 173000000X | Legal Medicine | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 05/07/2020