MY VISITING PHYSICIANS PC
Osteopathic Medicine at Greenfield Rd, Southfield, MI

License number
Michigan 4301041053
Category
Osteopathic Medicine
Type
Addiction Medicine
License number
Michigan 4301041053
Category
Medical Practice
Type
Obstetrics & Gynecology
License number
Michigan 4301041053
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: JONATHAN AGBEBIYI M.D.
Title: OWNER
Phone: (248) 946-2050
Address
Address
20755 Greenfield Rd SUITE 100A, Southfield, MI 48075
National Provider ID: 1740512201
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MY VISITING PHYSICIANS, PC

Southfield, MI

Status:
Inactive
Registration:
Sep 21, 2009
Addresses:
20905 Greenfield Rd STE 402, Southfield, MI 48075 (Physical)
Michigan (Mailing)
State ID:
02658R
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2012
Agent:
Jonathan Agbebiyi

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