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Contact Information

INNOVATION MEDICINE, PLLC
25710 KELLY RD
STE 3
ROSEVILLE, MI48066-4959
 Phone: 586-772-2600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INNOVATION MEDICINE PLLC · (Female)

NPI Number 1720511405
Status Active
Credentials
Entity Individual
Enumeration date 04/10/2017
Last updated 12/12/2023 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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