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Organization
VKTR VISITING PHYSICIAN GROUP PLLC
Active
Organization
VKTR VISITING PHYSICIAN GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN HOLLAWAY (FINANCIAL OFFICER)
(248) 914-1681
Entity
Organization
Contact information
Practice address
4777 E OUTER DR, DETROIT, MI 48234-3241
(248) 914-1681
Mailing address
17663 W 10 MILE RD, SOUTHFIELD, MI 48075-2756
(248) 914-1681
(248) 557-7883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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