# EUDEMIA

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

## Provider details

- **NPI number:** 1700429156
- **Authorized official:** DIANE CANNON (VICE PRESIDENT)
- **Authorized official phone:** (248) 476-6209

## Contact information

- **Practice address:** 29701 6 MILE RD STE 150A, LIVONIA, MI 48152-8604
- **Practice address phone:** (248) 476-6209
- **Mailing address:** 37292 CHELSEA CT, FARMINGTON HILLS, MI 48331-2812
- **Mailing address phone:** (248) 707-0258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2019
- **Last updated:** 10/17/2019