Organization
PROTERA HEALTH MEDICAL OF MICHIGAN PC
Active
Organization
PROTERA HEALTH MEDICAL OF MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MAKHNI MD (OWNER)
(810) 331-0939
Entity
Organization
Contact information
Practice address
801 W BIG BEAVER RD STE 300, TROY, MI 48084-4725
(810) 331-0939
(855) 850-4055
Mailing address
43313 WOODWARD AVE # 1174, BLOOMFIELD HILLS, MI 48302-5007
(810) 331-0939
(855) 850-4055
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/25/2024
Last updated
10/11/2024
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