Organization
RESIDENTIAL VISITING PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE R DENSLEY M.D. (OWNER/PRESIDENT)
(313) 680-5544
Entity
Organization
Contact information
Practice address
34020 7 MILE RD, SUITE # 113, LIVONIA, MI 48152-4911
(313) 680-5544
Mailing address
34020 7 MILE RD, SUITE # 113, LIVONIA, MI 48152-4911
(313) 680-5544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301039079
MI
Other
Enumeration date
03/24/2016
Last updated
03/06/2017
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