Provider Demographics
NPI:1669639647
Name:MICHIGAN COMPREHENSIVE MEDIC AL EVALUATIONS
Entity Type:Organization
Organization Name:MICHIGAN COMPREHENSIVE MEDIC AL EVALUATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HYATT
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:248-442-9400
Mailing Address - Street 1:23700 ORCHARD LAKE RD STE A
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-2559
Mailing Address - Country:US
Mailing Address - Phone:248-442-9400
Mailing Address - Fax:248-442-9403
Practice Address - Street 1:23700 ORCHARD LAKE RD STE A
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-2559
Practice Address - Country:US
Practice Address - Phone:248-442-9400
Practice Address - Fax:248-442-9403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty