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S.p.o.r.t. Physicians, P.c.
Specialist in Troy, Michigan
NPI 1588722649

S.p.o.r.t. Physicians, P.c. is a Specialist based in Troy, MI. S.p.o.r.t. Physicians, P.c. practices in Troy, MI. The NPI Number for S.p.o.r.t. Physicians, P.c. is 1588722649 and holds a License No. 4301046108 (Michigan).

The current practice location address for S.p.o.r.t. Physicians, P.c. is 1950 E Wattles Rd, Troy, MI and can be reached out via phone at 248-528-0050 and via fax at 248-528-0909.

Location: 1950 E Wattles Rd, Troy, MI, 48085-5099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588722649
Provider Name
S.p.o.r.t. Physicians, P.c.
Credential
Provider Entity Type
Organization
Address
1950 E Wattles Rd, Troy, MI, 48085-5099
Phone Number
248-528-0050
Fax Number
248-528-0909
Provider Enumeration Date
12/04/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
250F312460 01 MI BCBS OF MICHIGAN
institution
Provider Business Practice Location Address Details
Address
1950 E Wattles Rd
City
Troy
State
Michigan
Zip
48085-5099
Phone Number
248-528-0050
Fax Number
248-528-0909
person
Provider Business Mailing Address Details
Address
1950 E Wattles Rd
City
Troy
State
Michigan
Zip
48085-5099
Phone Number
248-528-0050
Fax Number
248-528-0909
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301046108 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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