| Organization Name: | HOUSECALL PHYSICIANS OF SOUTHWEST MICHIGAN PLC |
| NPI Number: | 1669682951 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BAHRAM ELAMI (SINGLE MEMBER) |
| Mailing Address: | 5084 Lovers Ln Portage |
| State: | MI US |
| Postal Code: | 490021557 |
| Phone Number: | 2693273700 |
| Fax Number: | 2693230229 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301068834 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |