# VISITING MD, LLC

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

## Provider details

- **NPI number:** 1699025874
- **Authorized official:** MR. GIGI JOHN (CEO/OWNER)
- **Authorized official phone:** (248) 443-8044

## Contact information

- **Practice address:** 15700 PROVIDENCE DR, SUITE 400, SOUTHFIELD, MI 48075-3144
- **Practice address phone:** (248) 233-0659
- **Mailing address:** 24777 GREENFIELD RD, SUITE 101C, SOUTHFIELD, MI 48075-3065
- **Mailing address phone:** (248) 443-8044
- **Mailing address fax:** (248) 443-8033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2012
- **Last updated:** 09/17/2012