Organization · NPI-2

Advance Care Associates

Internal Medicine · Farmington Hills, MI

NPI number1003508805
StatusActive
Last updated in NPPESOct 24, 2023

Details

NPI
1003508805
Entity type
Organization (NPI-2)
Legal business name
Advance Care Associates
Organization subpart
No
Enumeration date
May 22, 2023
Certification date
Aug 7, 2023
Last updated
Oct 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
302R00000X Health Maintenance Organization––
305R00000X Preferred Provider Organization––

Practice location

26120 Springland St
Farmington Hills, MI 48334-4740

Phone 248-722-6446

Mailing address

26120 Springland St
Farmington Hills, MI 48334-4740

Phone 124-872-2644

Authorized official

James Kraft
Ceo
2487226446

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