institution
Millennium Medical Group West
Adult Health Nurse Practitioner in Westland, Michigan
NPI 1669554424

Millennium Medical Group West is an Adult Health Nurse Practitioner based in Westland, MI and is specialized in Adult Health. Millennium Medical Group West practices in Westland, MI. The NPI Number for Millennium Medical Group West is 1669554424 and holds a License No. 4704216638 (Michigan).

The current practice location address for Millennium Medical Group West is 6149 N Wayne Rd, Westland, MI and can be reached out via phone at 734-728-2130 and via fax at 734-728-2626.

Location: 6149 N Wayne Rd, Westland, MI, 48185-7128
institution
Provider Profile Details
NPI Number
1669554424
Provider Name
Millennium Medical Group West
Credential
Provider Entity Type
Organization
Address
6149 N Wayne Rd, Westland, MI, 48185-7128
Phone Number
734-728-2130
Fax Number
734-728-2626
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4895024 05 MI
institution
Provider Business Practice Location Address Details
Address
6149 N Wayne Rd
City
State
Zip
48185-7128
Phone Number
734-728-2130
Fax Number
734-728-2626
person
Provider Business Mailing Address Details
Address
6149 N Wayne Rd
City
State
Zip
48185-7128
Phone Number
734-728-2130
Fax Number
734-728-2626
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
4704216638 (Michigan)
Definition
Definition to come...
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