Organization
THE MEDICAL TEAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN GRISARD (CFO)
(703) 390-2300
Entity
Organization
Contact information
Practice address
17197 N LAUREL PARK DR, SUITE 555, LIVONIA, MI 48152-2680
(734) 779-9700
(734) 779-9799
Mailing address
17197 N LAUREL PARK DR, SUITE 555, LIVONIA, MI 48152-2680
(734) 779-9700
(734) 779-9799
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15 1490111
—
MI
Enumeration date
07/12/2006
Last updated
10/14/2022
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