Healthcare Provider Details

I. General information

NPI: 1356040331
Provider Name (Legal Business Name): COMPREHENSIVE GI SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2023
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26720 FARMINGTON RD STE 109-D
FARMINGTON HILLS MI
48334
US

IV. Provider business mailing address

22250 PROVIDENCE DR STE 606
SOUTHFIELD MI
48075-6214
US

V. Phone/Fax

Practice location:
  • Phone: 248-557-9650
  • Fax: 248-557-5035
Mailing address:
  • Phone: 248-557-9650
  • Fax: 248-557-5035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ZC0006X
TaxonomyClinical Pathology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: RENEE THOMPSON
Title or Position: BILLING MANAGER
Credential:
Phone: 586-751-6034