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Organization
ADVANCE VISITING PHYSICIANS LLC
Active
Organization
ADVANCE VISITING PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMALEE KANCHANARYANA (OWNER)
(586) 286-2350
Entity
Organization
Contact information
Practice address
15945 19 MILE RD, SUITE 103, CLINTON TOWNSHIP, MI 48038-1147
(586) 286-2350
(586) 286-8742
Mailing address
15945 19 MILE RD, SUITE 103, CLINTON TOWNSHIP, MI 48038-1147
(586) 286-2350
(586) 286-8742
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RU033666
MI
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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