Organization
WATTS PRIMARY CARE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TALISHA L WATTS DNP (ADULT NURSE PRACTITIONER)
(313) 465-9892
Entity
Organization
Contact information
Practice address
29425 NORTHWESTERN HWY, SUITE 125, SOUTHFIELD, MI 48034-1080
(248) 569-7550
(248) 569-7552
Mailing address
34390 COUNTRY MEADOW RD, CHESTERFIELD, MI 48047-3161
(313) 465-9892
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4704246644
MI
Other
Enumeration date
07/16/2010
Last updated
11/23/2010
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