Healthcare Provider Details

I. General information

NPI: 1295271989
Provider Name (Legal Business Name): FUTURER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2017
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 GREEN RD STE 300
ANN ARBOR MI
48105-1575
US

IV. Provider business mailing address

2000 GREEN RD STE 300
ANN ARBOR MI
48105-1575
US

V. Phone/Fax

Practice location:
  • Phone: 734-995-3764
  • Fax: 734-995-2913
Mailing address:
  • Phone: 734-995-3764
  • Fax: 734-995-2913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberF0222J
License Number StateMI

VIII. Authorized Official

Name: MS. LISA KERR
Title or Position: SENIOR BUSINESS ANALYST
Credential:
Phone: 469-401-2386