Organization
COMPREHENSIVE MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE K (ADMINISTRATOR)
(231) 233-5555
Entity
Organization
Contact information
Practice address
24609 CAVENDISH AVE E, NOVI, MI 48375-2362
(231) 233-5555
Mailing address
24609 CAVENDISH AVE E, NOVI, MI 48375-2362
(231) 233-5555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5315030471
MI
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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