HomeNPI Verification

NPI Verification

National Provider Identifier: 1750604526

Halo Medical Group PLLC

Organization

Primary Specialty

Nurse Practitioner, Family

Code: 363LF0000X

All Specialties (6)

Family Medicine

Code: 207Q00000X

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Interventional Cardiology

Code: 207RI0011X

Pediatrics

Code: 208000000X

Nurse Practitioner, Family

Code: 363LF0000X

Primary

Practice Address

22720 MICHIGAN AVE STE 200

DEARBORN, MI 481242021

Phone: 313-791-3000

NPI Enumeration Date

March 9, 2010

NPI Number

1750604526

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry