# HYGIEIA CLINIC MICHIGAN PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hygieia Clinic Michigan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780224204
- **Authorized official:** JOEL KEIPER (STRATEGY OFFICER)
- **Authorized official phone:** (313) 801-0690

## Contact information

- **Practice address:** 28803 8 MILE RD STE 101, LIVONIA, MI 48152-2075
- **Practice address phone:** (313) 801-0690
- **Mailing address:** 28803 8 MILE RD STE 101, LIVONIA, MI 48152-2075
- **Mailing address phone:** (313) 801-0690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 163WC0400X | Case Management Registered Nurse | — | NULL | — |
| 163WC0400X | Case Management Registered Nurse | — | — | — |
| 163WD0400X | Diabetes Educator Registered Nurse | — | NULL | — |
| 163WD0400X | Diabetes Educator Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207WX0109X | Neuro-ophthalmology Physician | — | NULL | — |
| 207WX0109X | Neuro-ophthalmology Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/13/2020
- **Last updated:** 01/13/2020