Organization
LTR ADMINISTRATIVE SERVICES LLC
Active
Other names
Rochester Laser and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEVINE MD (PHYSICIAN)
(248) 320-8102
Entity
Organization
Contact information
Practice address
1349 S ROCHESTER RD, SUITE 130, ROCHESTER HILLS, MI 48307-3150
(248) 759-5693
Mailing address
1349 S ROCHESTER RD, SUITE 130, ROCHESTER HILLS, MI 48307-3150
(248) 759-5693
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4301051449
MI
Other
Enumeration date
10/24/2012
Last updated
11/06/2012
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