Healthcare Provider Details

I. General information

NPI: 1144936659
Provider Name (Legal Business Name): TEMPO MEDICAL MICHIGAN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 WEST RD STE 500
EAST LANSING MI
48823-6386
US

IV. Provider business mailing address

600 3RD AVE FL 42
NEW YORK NY
10016-1924
US

V. Phone/Fax

Practice location:
  • Phone: 212-803-9949
  • Fax:
Mailing address:
  • Phone: 212-803-9949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY SEELENFREUND
Title or Position: ATTORNEY
Credential: ESQ.
Phone: 212-803-9949