Organization
PROFESSIONAL OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, PLC
Active
Other names
Professional Preventative Medicine, PLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BINDESH KIRITKUMAR PATEL M.D. (DOCTOR)
(734) 934-4854
Entity
Organization
Contact information
Practice address
10000 TELEGRAPH RD, THE CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE, TAYLOR, MI 48180-3330
(313) 295-5343
(313) 295-5315
Mailing address
49025 WOODSON WAY, CANTON, MI 48187-6673
(734) 934-4854
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
4301078897
MI
261QP2300X
Primary Care Clinic/Center
4301078897
MI
261QX0100X
Occupational Medicine Clinic/Center
4301078897
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0951039
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/05/2007
Last updated
05/25/2011
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