NPI 1235456609
Envision Medical Group PLLC
Practice location
- Address
- 422 N Center St Suite B, Northville, MI 48167-1224
- Phone
- (248) 449-7156
- Mailing address
- 27275 Haggerty Rd STE 500, Novi, MI 48377-3635
Authorised official
- Name
- Michael Wayne
- Title
- Managing Partner
- Phone
- (248) 348-8700
Registered specialties (2)
Foot Surgery Podiatrist
Primary
Family Medicine Physician
Registry record
- NPI
- 1235456609
- Entity type
- Organization
- NPI issued
- 26 Apr 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.