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NPI Code Detail

MEDICARE: DEPENDABLE HEALTH MANAGEMENT

MEDICARE: DEPENDABLE HEALTH MANAGEMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0000XPain Medicine Physician

General Provider Information

NPI Number : 1790327864
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEPENDABLE HEALTH MANAGEMENT
Provider Business Mailing Address
First Line : PO BOX 1465
Second Line :
City : WARREN
State : MI
Zip : 48090-1465
Country : US
Telephone Number : 586-932-6303
Fax Number :
Provider Business Practice Location Address
First Line : 42301 MOUND RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48314-3148
Country : US
Telephone Number : 586-932-6303
Fax Number :
Authorized Official
Title or Position : RESIDENT AGENT
Name : KRISTAL TOOMA
Credential :
Telephone Number : 586-932-6303
Provider Enumeration Date : 10/10/2019
Last Update Date : 10/10/2019

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Directions to “DEPENDABLE HEALTH MANAGEMENT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.