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Contact Information

MILLENNIUM MEDICAL GROUP SOUTH PC
9340 TELEGRAPH RD
TAYLOR, MI48180-3362
 Phone: 313-295-3388
 Fax: 313-295-4198
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for MILLENNIUM MEDICAL GROUP SOUTH PC · (Female)

NPI Number 1265468623
Status Active
Credentials
Entity Individual
Enumeration date 06/25/2006
Last updated 08/19/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI Other 500H255490 BLUE SHIELD
  • MI Other 700H222490 BLUE SHIELD GROUP
  • MI Other DD9487 MEDICARE ID TYPE UNSPECIFIED
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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