Organization
INTEGRATED HOME DOCTORS P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD LEE KISSEL M.D. (PRESIDENT)
(847) 431-4500
Entity
Organization
Contact information
Practice address
11670 MARTIN RD STE 102, WARREN, MI 48093-4511
(734) 904-1016
Mailing address
11670 MARTIN RD STE 102, WARREN, MI 48093-4511
(734) 904-1016
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
10/04/2022
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