Organization
PHYSICIANS PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM CHARLES DESANO (ADMINISTRATOR)
(734) 915-1270
Entity
Organization
Contact information
Practice address
30808 ISLAND DR, GIBRALTAR, MI 48173-9547
(734) 915-1270
(734) 250-7377
Mailing address
30808 ISLAND DR, GIBRALTAR, MI 48173-9547
(734) 915-1270
(734) 250-7377
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/13/2009
Last updated
01/07/2010
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