Whalio Doctors

NPI 1003125774

Envision Medical Group PLLC

Organisation Family Medicine Physician South Lyon, MI

Practice location

Address
12660 Ten Mile Rd, South Lyon, MI 48178-9141
Phone
(248) 348-1131
Mailing address
27275 Haggerty Rd STE 500, Novi, MI 48377-3635

Authorised official

Name
Michael Wayne
Title
Managing Member
Phone
(248) 348-8700

Registered specialties (5)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Cardiovascular Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0000X
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X
Primary Podiatric Medicine Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI
1003125774
Entity type
Organization
NPI issued
29 Sep 2010
Record last updated
23 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.