Organization
MEDCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PISPIDIKIS NP-C, DC (ADMINISTRATOR)
(586) 573-8100
Entity
Organization
Contact information
Practice address
2243 E 12 MILE RD, WARREN, MI 48092-5644
(586) 573-8100
Mailing address
2243 E 12 MILE RD, WARREN, MI 48092-5644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704287416
MI
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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