Organization
CENTRIA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS WILCOX (OWNER)
(248) 299-0030
Entity
Organization
Contact information
Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
(248) 299-0030
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4704149813
MI
Other
Enumeration date
01/29/2014
Last updated
02/05/2019
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