Organization
MY HOME DOCTORS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KELLY BOEKEMA (BOOKKEEPER)
(586) 293-1868
Entity
Organization
Contact information
Practice address
30140 HARPER AVE, SUITE 300, SAINT CLAIR SHORES, MI 48082-1610
(586) 359-6983
(586) 293-1869
Mailing address
30140 HARPER AVE, SUITE 300, SAINT CLAIR SHORES, MI 48082-1610
(586) 359-6983
(586) 293-1869
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4301088798
MI
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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