Organization · Type 2 NPI

Dr. Revivajennz Med Spa, PLLC

Clinic/Center · Ann Arbor, MI

NPI number 1083310312 Active

Practice location

418 S Wagner Rd
Ann Arbor, MI 48103-1944

Call (734) 355-3566 Map

Mailing address

4870 Birkdale Dr
Ann Arbor, MI 48103-9743

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1083310312

Dr. Revivajennz Med Spa, PLLC's National Provider Identifier is 1083310312, issued on Feb 7, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Feb 7, 2023.