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NPI 1780450916 · Primary Care Clinic/Center · Farmington Hills, MI
Provider details
- NPI number
- 1780450916
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Krishna Jakkula, Founder(248) 914-6115
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
23143 Julieann Ct
Farmington Hills, MI 48335-4076
Phone: (248) 914-6115
Approximate (ZIP-level) locationGet directions
Mailing address
23143 Julieann Ct
Farmington Hills, MI 48335-4076
Registry dates
- Enumerated
- 2023-11-29
- Last updated
- 2023-11-29
- Certified
- 2023-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.