Organization
HEARTFELT PHYSICIAN SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA KATHLEENE MOTLEY MD (PRESIDENT)
(248) 552-1327
Entity
Organization
Contact information
Practice address
20245 W 12 MILE RD, STE 120, SOUTHFIELD, MI 48076-5409
(248) 552-1327
(586) 859-5729
Mailing address
20245 W 12 MILE RD, STE 120, SOUTHFIELD, MI 48076-5409
(248) 552-1327
(586) 859-5729
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301407599
MI
208D00000X
General Practice Physician
—
—
Other
Enumeration date
06/11/2006
Last updated
12/18/2020
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