Organization
HEALTHSTAR ENTERPRISES LLC
Active
Other names
PHYSICIANS WEIGHT LOSS CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT BAHL (CEO)
(248) 348-0007
Entity
Organization
Contact information
Practice address
44150 W 12 MILE RD, STE 200, NOVI, MI 48377-2649
(248) 348-0007
(248) 348-3407
Mailing address
44150 W 12 MILE RD, STE 200, NOVI, MI 48377-2649
(248) 348-0007
(248) 348-3407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301092050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301092050
LICENSE NUMBER
—
Enumeration date
12/15/2011
Last updated
12/15/2011
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