Individual
MICHAEL TAIT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24255 LATHIUP BLVD, SOUTHFIELD, MI 48075
(248) 667-6730
Mailing address
29488 WOODWARD AVE # 186, ROYAL OAK, MI 48073-0903
(248) 667-6730
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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