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Organization
SOLIS MEDICAL GROUP CA PC
Active
Organization
SOLIS MEDICAL GROUP CA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHOEBE GUTIERREZ (CONSULTANT)
(916) 826-4269
Entity
Organization
Contact information
Practice address
341 EVIAN WAY, MT PLEASANT, SC 29464-9261
(833) 869-1532
(833) 869-1553
Mailing address
6659 SCHAEFER RD STE 155, DEARBORN, MI 48126-1812
(833) 869-1532
(833) 869-1553
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
163WW0000X
Wound Care Registered Nurse
—
—
207N00000X
Dermatology Physician
—
—
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
04/14/2025
Last updated
05/21/2025
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