Organization · Type 2 NPI

Shining Light Osteopathic Care PLLC

Medical Specialty Clinic/Center · Macomb, MI

NPI number 1669975678 Active

Practice location

15300 21 Mile Rd Ste 3
Macomb, MI 48044-5024

Fax (586) 799-7827

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X5101014290 (MI)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1669975678

Shining Light Osteopathic Care PLLC's National Provider Identifier is 1669975678, issued on Mar 15, 2018. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Macomb, MI. The record was last updated on Mar 15, 2018.