NPI 1083285597

Landmark Medical of Michigan PC

Organisation General Practice Physician Southfield, MI

Practice location

Address: 3000 Town Ctr STE 1400, Southfield, MI 48075-1271
Phone: (313) 284-2204
Mailing address: 7755 Center Ave STE 630, Huntington Beach, CA 92647-9152

Authorised official

Name: Christopher Dennis
Title: Chief Bh Officer
Phone: (657) 400-5180

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1083285597
Entity type: Organization
NPI issued: 6 Jul 2021
Record last updated: 4 Sep 2024

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.