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Organization

COMPREHENSIVE HEALTH CARE CENTER OF MICHIGAN, PLLC

Active
Other names
Rochester Lifestyle Change & Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
SAMSON K KPADENOU MD. MPH (PRESIDENT)
(586) 731-7250
Entity
Organization

Contact information

Practice address
44344 DEQUINDRE RD, SUITE 340, STERLING HEIGHTS, MI 48314-1038
(586) 731-8200
(586) 731-8922
Mailing address
44344 DEQUINDRE RD, SUITE 340, STERLING HEIGHTS, MI 48314-1038
(586) 731-8200
(586) 731-8922

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33869
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2716948
MI
Enumeration date
06/08/2009
Last updated
04/30/2014
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