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  • 239157
CCN: 239157 NPI: 1194951384 Organization

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33620 FIVE MILE RD STE B
LIVONIA, MI 48154

Contact Information

  • Phone 3135411172
  • Fax 3135411171
  • Enumeration Date 2009-06-02
  • Last Updated 2022-08-26

Taxonomies

  • Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 19804
providerType 36
censusDivision 4
cbsaActualGeographicLocation 19804
providerType 36
censusDivision 4
cbsaActualGeographicLocation 19804
providerType 36
censusDivision 4
cbsaActualGeographicLocation 19804
providerType 36
censusDivision 4
cbsaActualGeographicLocation 19804
providerType 36
censusDivision 4
cbsaActualGeographicLocation 19804
providerType 36
censusDivision 4
cbsaActualGeographicLocation 19804
providerType 36
censusDivision 4
cbsaActualGeographicLocation 19804
providerType 36
censusDivision 4
cbsaActualGeographicLocation 19804
providerType 36
censusDivision 4
cbsaActualGeographicLocation 19804
providerType 36
censusDivision 4
cbsaActualGeographicLocation 19804
providerType 36
censusDivision 4
cbsaActualGeographicLocation 19804
providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 19804
providerType 36
operatingCostToChargeRatio 0.32
specialPaymentIndicator
carrierCode 08202
localityCode 01
cbsaActualGeographicLocation 19804
providerType 36
operatingCostToChargeRatio 0.32
specialPaymentIndicator
carrierCode 08202
localityCode 01
cbsaActualGeographicLocation 19804
providerType 36
operatingCostToChargeRatio 0.32
carrierCode 08202
localityCode 01
cbsaActualGeographicLocation 19804
providerType 36
operatingCostToChargeRatio 0.32
specialPaymentIndicator
carrierCode 08202
localityCode 01
cbsaActualGeographicLocation 19804
providerType 36
operatingCostToChargeRatio 0.32
specialPaymentIndicator
carrierCode 08202
localityCode 01
cbsaActualGeographicLocation 19804
providerType 36
operatingCostToChargeRatio 0.32
specialPaymentIndicator
carrierCode 08202
localityCode 01
cbsaActualGeographicLocation 19804
providerType 36
operatingCostToChargeRatio 0.32
specialPaymentIndicator
carrierCode 08202
localityCode 01
cbsaActualGeographicLocation 19804
providerType 36
operatingCostToChargeRatio 0.32
specialPaymentIndicator
carrierCode 08202
localityCode 01

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