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NPI Code Detail

MEDICARE: CONTINUUM GERIATRIC SERVICES, PLLC

MEDICARE: CONTINUUM GERIATRIC SERVICES, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMI
2363L00000XNurse Practitioner
3207QG0300XGeriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1740251487
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONTINUUM GERIATRIC SERVICES, PLLC
Provider Business Mailing Address
First Line : 23550 HAGGERTY RD
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48335-2614
Country : US
Telephone Number : 248-381-8081
Fax Number : 734-402-0254
Provider Business Practice Location Address
First Line : 23550 HAGGERTY RD
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48335-2614
Country : US
Telephone Number : 248-381-8081
Fax Number : 734-402-0254
Authorized Official
Title or Position : PRESIDENT
Name : THOMAS SELZNICK
Credential : D.O
Telephone Number : 734-266-2780
Provider Enumeration Date : 01/31/2006
Last Update Date : 04/29/2009

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Directions to “CONTINUUM GERIATRIC SERVICES, PLLC ” Practice Location

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