Healthcare Provider Details
I. General information
NPI: 1164857074
Provider Name (Legal Business Name): HELLOMED,PLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/10/2013
Last Update Date: 03/10/2024
Certification Date: 03/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2731 PLYMOUTH RD
ANN ARBOR MI
48105-2427
US
IV. Provider business mailing address
2731 PLYMOUTH RD
ANN ARBOR MI
48105-2427
US
V. Phone/Fax
- Phone: 734-619-0777
- Fax: 734-365-6417
- Phone: 734-619-0777
- Fax: 734-365-6417
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | E2028P |
| License Number State | MI |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOUNGWOOK
LEE
Title or Position: CEO
Credential: MD
Phone: 734-249-2482