Organization
COMORIN KIDNEYCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA JEAN GREENWOOD (BILLER)
(313) 221-5152
Entity
Organization
Contact information
Practice address
14555 LEVAN ROAD, SUITE 308, LIVONIA, MI 48154-6052
(734) 288-3370
(734) 785-8421
Mailing address
PO BOX 510052, LIVONIA, MI 48151-6052
(734) 288-3370
(734) 785-8421
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301084038
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301084038
—
MI
Enumeration date
01/14/2014
Last updated
03/22/2022
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