Organization
VISITING MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GIGI JOHN (CEO/OWNER)
(248) 443-8044
Entity
Organization
Contact information
Practice address
15700 PROVIDENCE DR, SUITE 400, SOUTHFIELD, MI 48075-3144
(248) 233-0659
Mailing address
24777 GREENFIELD RD, SUITE 101C, SOUTHFIELD, MI 48075-3065
(248) 443-8044
(248) 443-8033
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
09/17/2012
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