Healthcare Provider Details

I. General information

NPI: 1750495495
Provider Name (Legal Business Name): AMERIGARD DEVELOPMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30730 FORD RD
GARDEN CITY MI
48135-1803
US

IV. Provider business mailing address

6245 INKSTER RD
GARDEN CITY MI
48135-4001
US

V. Phone/Fax

Practice location:
  • Phone: 734-458-4490
  • Fax: 734-458-4723
Mailing address:
  • Phone: 734-458-4490
  • Fax: 734-458-4723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. DARLA SUE PARSONS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 734-458-4490