Organization
INNOVATIVE MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA STRUBLE SOURLEY PHD (PRESIDENT)
(248) 740-1265
Entity
Organization
Contact information
Practice address
318 TOWN CENTER DR., TROY, MI 48084
(248) 740-1265
(248) 740-1265
Mailing address
318 TOWN CENTER DR., TROY, MI 48084
(248) 740-1265
(248) 740-1265
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
306-055
WI
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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