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Organization
ELDER CARE VISITING PHYSICIANS
Active
Organization
ELDER CARE VISITING PHYSICIANS
Active
Other names
Elder Care VP Service LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA SHARLENE RUTHERFORD (MANAGING MEMEBER)
(248) 594-4042
Entity
Organization
Contact information
Practice address
30075 GREENFIELD RD STE 101, SOUTHFIELD, MI 48076-1523
(248) 594-4042
(248) 594-4423
Mailing address
30075 GREENFIELD RD STE 101, SOUTHFIELD, MI 48076-1523
(248) 594-4042
(248) 594-4423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
173000000X
Legal Medicine
Primary
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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