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Organization

WHOLISTIC CENTER FOR RESTORATIVE HEALTH AND FUNCTIONAL MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAMILLE JOHNSON MD (OWNER)
(313) 858-8480
Entity
Organization

Contact information

Practice address
20905 GREENFIELD RD STE 600, SOUTHFIELD, MI 48075-5355
(586) 879-1921
Mailing address
19785 W 12 MILE RD # 591, SOUTHFIELD, MI 48076-2584
(313) 858-8480

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
10/04/2022
Last updated
10/04/2022
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