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Organization
TAILORMED MEDICAL INC
Active
Organization
TAILORMED MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAEL DVORSKY (CEO)
(800) 910-9801
Entity
Organization
Contact information
Practice address
30100 TELEGRAPH ROAD, SUITE 403, BRINGHAM FARMS, MI 48025
(800) 910-9801
Mailing address
30100 TELEGRAPH ROAD, SUITE 403, BRINGHAM FARMS, MI 48025
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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