Organization Name: | APTCARE MI-2 PLLC |
NPI Number: | 1982907200 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD WILLIAM DOUD (CEO) |
Mailing Address: | 444 Sherman Dr Marshall |
State: | MI US |
Postal Code: | 490689624 |
Phone Number: | 2692096998 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2010 |
NPI Last Update Date: | 01/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5101010008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |