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Abode Integrated Medicine,pllc

Neuromusculoskeletal Medicine & OMM in Novi, MI. Organization (NPI-2).

NPI number1891828885
StatusActive
Last updated in NPPESJan 14, 2008

Details

NPI
1891828885
Entity type
Organization (NPI-2)
Legal business name
Abode Integrated Medicine,pllc
Organization subpart
No
Enumeration date
Mar 13, 2007
Last updated
Jan 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
204D00000X Neuromusculoskeletal Medicine & OMM––Yes
207Q00000X Family Medicine––

Practice location

25500 Meadowbrook Rd
# 215
Novi, MI 48375-1845

Phone 248-888-9780 · Fax 248-888-9784

Mailing address

25500 Meadowbrook Rd
# 215
Novi, MI 48375-1845

Phone 248-888-9780 · Fax 248-888-3184

Authorized official

Jay Brain Danto
Presdent
2488889780

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