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Organization

THE MEDICAL TEAM, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN GRISARD (CFO)
(703) 390-2300
Entity
Organization

Contact information

Practice address
17197 N LAUREL PARK DR, SUITE 521, LIVONIA, MI 48152-2680
(734) 779-9700
(734) 779-9799
Mailing address
17197 N LAUREL PARK DR, SUITE 521, LIVONIA, MI 48152-2680
(734) 779-9700
(734) 779-9799

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
251G00000X
Community Based Hospice Care Agency
Primary
104100139
MI

Other

Enumeration date
09/10/2014
Last updated
05/15/2025
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