Organization · Type 2 NPI
Choctaw Management Services Enterprise
Military Health Care Provider · Troy, MI
NPI number
1679775308
Active
Practice location
1172 Kirts Blvd, U.s. Meps
Troy, MI 48084-4846
Mailing address
2773 Mayfair Dr
Troy, MI 48084-2601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 4301037778 (MI) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Another provider at this address
About NPI 1679775308
Choctaw Management Services Enterprise's National Provider Identifier is 1679775308, issued on Jun 4, 2007. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Troy, MI. The record was last updated on Aug 22, 2020.