Organization
VITALITY VISITING PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARSHA BALDRIDGE (OWNER)
(248) 862-5311
Entity
Organization
Contact information
Practice address
16250 NORTHLAND DR STE 318, SOUTHFIELD, MI 48075-5228
(248) 862-5311
(248) 671-0175
Mailing address
18000 W 9 MILE RD STE 650, SOUTHFIELD, MI 48075-4009
(248) 862-5311
(248) 243-1888
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
10/21/2022
Last updated
06/20/2025
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