# MICHIGAN HOSPITAL PHYSICIANS, P.C.

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

## Provider details

- **NPI number:** 1811002710
- **Authorized official:** TOMMI A WHITE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (734) 632-0175

## Contact information

- **Practice address:** 18101 OAKWOOD BLVD, ISU OBSERVATION UNIT, DEARBORN, MI 48124-4089
- **Practice address phone:** (313) 982-5770
- **Practice address fax:** (313) 982-5771
- **Mailing address:** 38935 ANN ARBOR RD, CREDENTIALING/PAYER CONTRACTING, LIVONIA, MI 48150-3397
- **Mailing address phone:** (734) 805-0488
- **Mailing address fax:** (866) 250-6385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MI | — |
| 207R00000X | Internal Medicine Physician | — | MI | Yes |
| 363A00000X | Physician Assistant | — | MI | — |
| 363L00000X | Nurse Practitioner | — | MI | — |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 12/26/2013