Organization
LIBERTY 1 HEALTH CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOHAR ATRI MD (MEDICAL DIRECTOR)
(989) 798-7604
Entity
Organization
Contact information
Practice address
17515 W 9 MILE RD STE 740, SOUTHFIELD, MI 48075-4413
(989) 798-7604
Mailing address
17515 W 9 MILE RD STE 740, SOUTHFIELD, MI 48075-4413
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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