Organization · Type 2 NPI

VDM of Michigan

Primary Care Clinic/Center · Clinton Township, MI

NPI number 1801636121 Active

Practice location

43211 Dalcoma Dr Ste 6
Clinton Township, MI 48038-6309

Fax (800) 878-3830

Mailing address

11200 Broadway St Ste 2743
Pearland, TX 77584-9787

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center 261QM1300XNone listed
Primary Care Clinic/Center Primary 261QP2300XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1801636121

VDM of Michigan's National Provider Identifier is 1801636121, issued on May 27, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Clinton Township, MI. The record was last updated on Jun 3, 2024.