Healthcare Provider Details

I. General information

NPI: 1366470296
Provider Name (Legal Business Name): TOWNSHIP OF PLYMOUTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 08/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9955 HAGGERTY RD
PLYMOUTH MI
48170-4673
US

IV. Provider business mailing address

9955 N HAGGERTY RD
PLYMOUTH MI
48170-4673
US

V. Phone/Fax

Practice location:
  • Phone: 734-354-3221
  • Fax: 734-354-9672
Mailing address:
  • Phone: 517-318-3756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number341600000X
License Number StateMI

VIII. Authorized Official

Name: MR. MARK S WENDEL
Title or Position: FIRE CHIEF
Credential:
Phone: 734-354-3220