Organization · Type 2 NPI

Envision Medical Group PLLC

Family Medicine Physician · South Lyon, MI

NPI number 1003125774 Active

Practice location

12660 Ten Mile Rd
South Lyon, MI 48178-9141

Mailing address

27275 Haggerty Rd Ste 500
Novi, MI 48377-3635

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Primary Podiatric Medicine Podiatrist 213EP1101XNone listed
Physician Assistant 363A00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1003125774

Envision Medical Group PLLC's National Provider Identifier is 1003125774, issued on Sep 29, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in South Lyon, MI. The record was last updated on Feb 23, 2021.