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Organization

VPS OF MI PLLC

Active
Parent organization
VPS OF MI PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
VPS OF MI PLLC
Authorized official
PAYAL JINIT SHAH NP-C (OWNER)
(248) 509-4070
Entity
Organization

Contact information

Practice address
25880 OUTER DR STE 1, LINCOLN PARK, MI 48146-1553
(248) 509-4070
(248) 509-4080
Mailing address
25880 OUTER DR STE 1, LINCOLN PARK, MI 48146-1553
(248) 509-4070
(248) 509-4080

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164873691
MI
Enumeration date
09/25/2019
Last updated
09/25/2019
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