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Organization

INNOVATIVE HEALTH GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICARDO BORREGO (OWNER)
(248) 818-6143
Entity
Organization

Contact information

Practice address
24371 W 10 MILE RD, SOUTHFIELD, MI 48033-2929
(248) 818-6143
Mailing address
PO BOX 3190, SOUTHFIELD, MI 48037-3190

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
12/27/2016
Last updated
12/27/2016
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