Organization
AT HOME PHYSICIANS MANAGING CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY GADLE (CFO)
(877) 897-7477
Entity
Organization
Contact information
Practice address
3771 E 10 MILE RD, WARREN, MI 48091
(877) 897-7477
(877) 755-1030
Mailing address
3771 E 10 MILE RD, WARREN, MI 48091
(877) 897-7477
(877) 755-1030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E033100
BCBS
MI
Enumeration date
01/29/2010
Last updated
08/03/2012
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