Organization
ENLIGHTENED MEDICAL HOME VISIT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEIUTTENUN BROWN M.D. (OWNER)
(248) 281-6469
Entity
Organization
Contact information
Practice address
20755 GREENFIELD RD, SUITE 803, SOUTHFIELD, MI 48075
(248) 281-6469
(947) 282-6991
Mailing address
20755 GREENFIELD RD STE 803, SOUTHFIELD, MI 48075-5410
(248) 281-6469
(947) 282-6991
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MI
Enumeration date
06/21/2017
Last updated
07/21/2022
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