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General NPI Number Information
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NPI Number | 1568975621
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Entity Type | Organization
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Legal Business Name | HEALTHWAYS MICHIGAN GROUP, PLC
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 6175 LAPEER RD
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City | BURTON
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State | MI
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Zip | 48509-2417
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Country | US
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Telephone | 810-743-1408
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Fax |
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Provider Business Mailing Address
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Address Line | 6175 LAPEER RD
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City | BURTON
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State | MI
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Zip | 48509-2417
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROMMEL AQUINO
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Credential |
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Telephone | 810-743-1408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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