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Organization

VHS PHYSICIANS OF MICHIGAN

Active
Other names
DMC Sports Medicine Farmington Hills
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN PLUE (PROVIDER ENROLLMENT)
(810) 720-5715
Entity
Organization

Contact information

Practice address
28300 ORCHARD LAKE RD, SUITE 200, FARMINGTON HILLS, MI 48334-3704
(810) 720-5715
(810) 732-0891
Mailing address
4675 DEPARTMENT, CAROL STREAM, IL 60122-0021
(810) 720-5715
(810) 732-0891

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary

Other

Enumeration date
07/22/2011
Last updated
07/22/2011
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