NPI 1679775308

Choctaw Management Services Enterprise

Organisation Military Health Care Provider Troy, MI

Practice location

Address: 1172 Kirts Blvd U.S. Meps, Troy, MI 48084-4846
Phone: (248) 244-9131
Mailing address: 2773 Mayfair Dr, Troy, MI 48084-2601

Authorised official

Name: Amy Humphrey
Title: Program Coordinator
Phone: (877) 267-3728

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence 4301037778 (MI)

Other Military Health Care Provider providers in Michigan →

Registry record

NPI: 1679775308
Entity type: Organization
NPI issued: 4 Jun 2007
Record last updated: 22 Aug 2020

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.