Organization
EXPRESS VISITING PHYSICIANS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODERIC LIGHT (CEO)
(248) 799-0870
Entity
Organization
Contact information
Practice address
43614 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1120
(248) 799-0870
(248) 799-0871
Mailing address
21415 CIVIC CENTER DR, STE#115, SOUTHFIELD, MI 48076-3953
(248) 799-0870
(248) 799-0871
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MI
Other
Enumeration date
08/06/2009
Last updated
07/21/2022
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