Healthcare Provider Details

I. General information

NPI: 1063730455
Provider Name (Legal Business Name): ESTHER ARHIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2010
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28475 GREENFIELD RD SUITE 119
SOUTHFIELD MI
48076-3034
US

IV. Provider business mailing address

28475 GREENFIELD RD SUITE 119
SOUTHFIELD MI
48076-3034
US

V. Phone/Fax

Practice location:
  • Phone: 248-327-7966
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. ESTHER ARHIN
Title or Position: OWNER
Credential:
Phone: 248-327-7966