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Organization

CH MSSP SERVICES MI PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE HOWARD (SR VP OF ADMINISTRATIVE SERVICES)
(337) 408-0797
Entity
Organization

Contact information

Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1599
(337) 408-0797
Mailing address
5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5345
(337) 408-0797
(337) 943-0846

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
05/31/2023
Last updated
03/21/2025
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