Michigan Infusion and Licensed Healthcare
Michigan Infusion and Licensed Healthcare is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Plymouth, Michigan. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
500 Ross StPlymouth, MI 48170-2206
Phone: (734) 341-7767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081P2900X |
Record details
| NPI number | 1164153367 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Long — Owner/Manager · (734) 341-7767 |
| NPI enumerated | June 20, 2022 |
| Last updated in NPPES | June 20, 2022 |
| Certification date | June 20, 2022 |
| Mailing address | 500 Ross St, Plymouth, MI 48170-2206 |