Healthcare Provider Details

I. General information

NPI: 1699453654
Provider Name (Legal Business Name): EMBRACE HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 07/10/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43628 GARFIELD RD
CLINTON TWP MI
48038-1120
US

IV. Provider business mailing address

43628 GARFIELD RD
CLINTON TWP MI
48038-1120
US

V. Phone/Fax

Practice location:
  • Phone: 586-580-9920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARIA SWETECH
Title or Position: OWNER
Credential: DO
Phone: 586-580-9920