NPI 1710202825
Home Clinic PC
Practice location
- Address
- 23999 Northwestern Hwy, Southfield, MI 48075-2578
- Phone
- (248) 223-1500
- Mailing address
- 2980 N Beverly Glen Cir STE 301, Los Angeles, CA 90077-1726
Authorised official
- Name
- Paul Petre
- Title
- Owner
- Phone
- (248) 223-1500
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1710202825
- Entity type
- Organization
- NPI issued
- 31 Mar 2010
- Record last updated
- 7 Mar 2011
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.