Organization
IMPG PLLC
Active
Other names
Elite Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MICHALIK (CREDENTIALING SPECIALIST)
(248) 663-2021
Entity
Organization
Contact information
Practice address
1622 SHERWOOD CT, DEARBORN, MI 48124-4073
(313) 929-0007
Mailing address
1622 SHERWOOD CT, DEARBORN, MI 48124-4073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
02/01/2024
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