Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Internal Medicine and Vitality, PLLC

Organization Internal Medicine Physician · NPI 1073357737

Internal Medicine and Vitality, PLLC is an Internal Medicine Physician in Portage, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6505 Constitution Blvd Ste C
Portage, MI 49024-1605
Phone: (269) 762-4120
Fax: (269) 254-8413
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1073357737
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Henry — Owner · (269) 762-4120
NPI enumeratedJune 19, 2024
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address6505 Constitution Blvd Ste C, Portage, MI 49024-1605

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