# TOTAL TEMPLE LLC

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

## Provider details

- **NPI number:** 1558132399
- **Authorized official:** TAKOYA S BROWN RN (MEMBER)
- **Authorized official phone:** (248) 639-0733

## Contact information

- **Practice address:** 43996 WOODWARD AVE STE 100, BLOOMFIELD HILLS, MI 48302-5028
- **Practice address phone:** (313) 444-1349
- **Practice address fax:** (313) 288-1574
- **Mailing address:** 43996 WOODWARD AVE STE 100, BLOOMFIELD HILLS, MI 48302-5028
- **Mailing address phone:** (313) 444-1349
- **Mailing address fax:** (313) 288-1574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | NULL | Yes |
| 163WG0000X | General Practice Registered Nurse | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/10/2024
- **Last updated:** 01/10/2024