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Organization
TRANSFORMATION MEDICAL SERVICES, PC
Active
Organization
TRANSFORMATION MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADDISON REEDE TARR D.O. (PRESIDENT AND CEO)
(714) 225-8665
Entity
Organization
Contact information
Practice address
21415 CIVIC CENTER DR, SUITE 111, SOUTHFIELD, MI 48076-3909
(248) 356-1111
Mailing address
21415 CIVIC CENTER DR, SUITE 111, SOUTHFIELD, MI 48076-3909
(248) 356-1111
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
5101015861
MI
207QA0505X
Adult Medicine Physician
Primary
5101015861
MI
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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