Organization
MILLENNIUM MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER R LULKIN (BILLER)
(734) 462-2700
Entity
Organization
Contact information
Practice address
38807 ANN ARBOR RD STE 7, LIVONIA, MI 48150-3896
(734) 462-2700
Mailing address
38807 ANN ARBOR RD STE 7, LIVONIA, MI 48150-3896
(734) 462-2700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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