Organization
TOTAL TEMPLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKOYA S BROWN RN (MEMBER)
(248) 639-0733
Entity
Organization
Contact information
Practice address
43996 WOODWARD AVE STE 100, BLOOMFIELD HILLS, MI 48302-5028
(313) 444-1349
(313) 288-1574
Mailing address
43996 WOODWARD AVE STE 100, BLOOMFIELD HILLS, MI 48302-5028
(313) 444-1349
(313) 288-1574
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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