Organization
ELDER CARE VISITING PHYSICIANS
Active
Other names
Elder Care VP Service LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA SHARLENE RUTHERFORD (MANAGING MEMEBER)
(248) 594-4042
Entity
Organization
Contact information
Practice address
30075 GREENFIELD RD STE 101, SOUTHFIELD, MI 48076-1523
(248) 594-4042
(248) 594-4423
Mailing address
30075 GREENFIELD RD STE 101, SOUTHFIELD, MI 48076-1523
(248) 594-4042
(248) 594-4423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
173000000X
Legal Medicine
Primary
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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