# INNOVATIVE MEDICINE P.C.

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

## Provider details

- **NPI number:** 1821234030
- **Authorized official:** MS. RHONDA STRUBLE SOURLEY PHD (PRESIDENT)
- **Authorized official phone:** (248) 740-1265

## Contact information

- **Practice address:** 318 TOWN CENTER DR., TROY, MI 48084
- **Practice address phone:** (248) 740-1265
- **Practice address fax:** (248) 740-1265
- **Mailing address:** 318 TOWN CENTER DR., TROY, MI 48084
- **Mailing address phone:** (248) 740-1265
- **Mailing address fax:** (248) 740-1265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 306-055 | WI | Yes |

## Other

- **Enumeration date:** 12/18/2008
- **Last updated:** 12/18/2008