Whalio Doctors

NPI 1306395546

Defpotec Corporation

Organisation Point of Service Southfield, MI

Practice location

Address
17260 W 10 Mile Rd, Southfield, MI 48075-2949
Phone
(248) 809-4633
Mailing address
14200 W 8 Mile Rd 37047, Oak Park, MI 48237-7700

Authorised official

Name
Kristie Volaura Lee
Title
Authorized Official
Phone
(248) 595-8271

Registered specialties (4)

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X
Dietary Manager
Dietary & Nutritional Service Providers Taxonomy 132700000X
Gerontology Registered Nurse
Nursing Service Providers Taxonomy 163WG0600X
Pain Management Registered Nurse
Nursing Service Providers Taxonomy 163WP0000X

Registry record

NPI
1306395546
Entity type
Organization
NPI issued
29 Sep 2016
Record last updated
24 Oct 2019

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.