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Organization
WELLPOINTE SLEEP DIAGNOSTIC CENTER LLC
Active
Organization
WELLPOINTE SLEEP DIAGNOSTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY B KERR (MANAGING DIRECTOR)
(248) 755-5522
Entity
Organization
Contact information
Practice address
1701 SOUTH BOULEVARD EAST, SUITE B 25, ROCHESTER HILLS, MI 48307
(248) 465-1848
(248) 380-8620
Mailing address
18223 E 10 MILE RD, SUITE 400, ROSEVILLE, MI 48066-5821
(586) 260-7301
(586) 948-3804
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
B8178Y
MI
Other
Enumeration date
06/21/2006
Last updated
03/19/2013
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