Organization Name: | METRO HEALTH CENTERS, P.L.L.C. |
NPI Number: | 1427271881 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES MICHAEL ZELCH (REPRESENTATIVE) |
Mailing Address: | 25429 Van Dyke Ave Center Line |
State: | MI US |
Postal Code: | 480151825 |
Phone Number: | 5867591100 |
Fax Number: | 5867592721 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 11/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |