Organization
PROACTIVE COMMUNITY HEALTH L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIAN BALLARD (COMMUNITY HEALTH WORKER)
(734) 252-6187
Entity
Organization
Contact information
Practice address
26150 SUMMERDALE DR, SOUTHFIELD, MI 48033-6135
(248) 495-6789
Mailing address
26150 SUMMERDALE DR, SOUTHFIELD, MI 48033-6135
(734) 252-6187
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
03/21/2024
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