NPI 1306395546
Defpotec Corporation
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
Dietary Manager
Gerontology Registered Nurse
Pain Management Registered Nurse
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.