Healthcare Provider Details

I. General information

NPI: 1376013466
Provider Name (Legal Business Name): NUCH OF MICHIGAN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2018
Last Update Date: 03/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26150 NOVI RD STE 100
NOVI MI
48375-1139
US

IV. Provider business mailing address

115 EASTPARK DR STE 300
BRENTWOOD TN
37027-2311
US

V. Phone/Fax

Practice location:
  • Phone: 248-600-4944
  • Fax: 248-243-8944
Mailing address:
  • Phone: 615-600-4074
  • Fax: 615-309-8341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIC ENDERLE
Title or Position: CEO
Credential:
Phone: 615-600-4120