Organization
WATTS PRIMARY CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALISHA WATTS DNP (CEO)
(313) 465-9892
Entity
Organization
Contact information
Practice address
34390 COUNTRY MEADOW RD, CHESTERFIELD, MI 48047-3161
(313) 465-9892
Mailing address
34390 COUNTRY MEADOW RD, CHESTERFIELD, MI 48047-3161
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704246644
MI
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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