Organization
DIVINTY VISITING PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHANSEY SMITH (OWNER)
(248) 539-4640
Entity
Organization
Contact information
Practice address
31513 NORTHWESTERN HWY, FARMINGTON HILLS, MI 48334-2528
(248) 539-4640
(248) 539-4645
Mailing address
18597 W 10 MILE RD, SUITE 05, SOUTHFIELD, MI 48075-2663
(248) 423-2988
(248) 423-2922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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