Whalio Doctors

NPI 1063735934

Advanced Therapeutic Medical Services PLLC

Organisation General Practice Physician Southfield, MI

Practice location

Address
20905 Greenfield Rd Suite 205m, Southfield, MI 48075-5360
Phone
(313) 837-0560
Mailing address
PO Box 760128, Lathrup Village, MI 48076-0128

Authorised official

Name
Otis Crawford
Title
Owner
Phone
(313) 837-0560

Registered specialties

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Registry record

NPI
1063735934
Entity type
Organization
NPI issued
8 Mar 2010
Record last updated
8 Mar 2010

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.