Organization
TOMS HOLISTIC HOME VISITS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMASZ S DRAGOWSKI N.P. (OWNER)
(734) 451-0600
Entity
Organization
Contact information
Practice address
28675 FRANKLIN RD, SUITE 217, SOUTHFIELD, MI 48034
(734) 451-0600
Mailing address
28675 FRANKLIN RD APT 217, SOUTHFIELD, MI 48034-1603
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
4704277552
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MI
Enumeration date
08/28/2017
Last updated
07/21/2022
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