Organization
MARIVIC D. MASSAND MD,PLLC
Active
Other names
michigan healthcare physicians,PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAKASH PRIBHDAS MASSAND (ADMINISTRATOR)
(313) 737-8000
Entity
Organization
Contact information
Practice address
971 CANTERBURY RD, GROSSE POINTE WOODS, MI 48236-1252
(313) 885-4489
(313) 899-7092
Mailing address
971 CANTERBURY RD, GROSSE POINTE WOODS, MI 48236-1252
(313) 885-4489
(313) 899-7092
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4301036945
MI
Other
Enumeration date
10/21/2008
Last updated
12/16/2008
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