Organization
OMNI DYNAMICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AHMANI MICHELLE CUNNINGHAM (FOUNDER)
(586) 525-1220
Entity
Organization
Contact information
Practice address
428 E PALMER ST, DETROIT, MI 48202-3826
(586) 525-1220
Mailing address
428 E PALMER ST, DETROIT, MI 48202-3826
(586) 525-1220
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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