OrganizationActive
Choctaw Management Services Enterprise
NPI 1679775308 · Military Health Care Provider · Troy, MI
Provider details
- NPI number
- 1679775308
- Entity type
- Organization
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Authorized official
- Amy Humphrey, Program Coordinator
- License
- 4301037778 (MI)
Mailing address
2773 Mayfair Dr
Troy, MI 48084-2601
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.