Organization · NPI-2

100 Health Medical Mi PC

Family Medicine · Okemos, MI

NPI number1538085055
StatusActive
Last updated in NPPESJun 29, 2026

Details

NPI
1538085055
Entity type
Organization (NPI-2)
Legal business name
100 Health Medical Mi PC
Organization subpart
No
Enumeration date
Jun 29, 2026
Certification date
Jun 28, 2026
Last updated
Jun 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

2222 W Grand River Ave Ste A
Okemos, MI 48864-1604

Phone 216-406-7943

Mailing address

2222 W Grand River Ave Ste A
Okemos, MI 48864-1604

Authorized official

Rakesh Suri
Director
2164067943

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