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100 HEALTH MEDICAL MI PC — NPI 1538085055 – Denial Journal
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Organization

100 HEALTH MEDICAL MI PC

NPI 1538085055 Active Family Medicine
Quick Facts
NPI Number
1538085055
Type
Organization (NPI-2)
Status
Active
Enumeration Date
2026-06-29
Last Updated (NPPES)
2026-06-29

Primary Specialty / Taxonomy

TaxonomyFamily Medicine
Taxonomy Code207Q00000X

Practice Address

2222 W GRAND RIVER AVE STE A
OKEMOS, MI 488641604

Phone: 216-406-7943

Mailing Address

2222 W GRAND RIVER AVE STE A
OKEMOS, MI 488641604

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.

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