Organization
CARE CREST VISITING PHYSICIAN SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOYIA NOVAK NP (OWNER/NURSE PRACTITIONER)
(313) 715-3747
Entity
Organization
Contact information
Practice address
19100 W 10 MILE RD STE 201, SOUTHFIELD, MI 48075
(313) 715-3747
Mailing address
19100 W 10 MILE RD STE 201, SOUTHFIELD, MI 48075
(313) 715-3747
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4704225812
MI
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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