Organization
MILLENNIUM MEDICAL GROUP WEST
Active
Other names
WESTLAND CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY A STRAIGHT (ADMINISTRATOR)
(734) 728-2130
Entity
Organization
Contact information
Practice address
6149 N WAYNE RD, BILLING DEPT, WESTLAND, MI 48185-7128
(734) 728-2130
(734) 728-2626
Mailing address
6149 N WAYNE RD, BILLING DEPT, WESTLAND, MI 48185-7128
(734) 728-2130
(734) 728-2626
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704216638
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4895024
—
MI
Enumeration date
10/20/2006
Last updated
08/22/2020
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