Provider Demographics
NPI:1679240741
Name:ADVANCED PRECISION HEALTH MANAGEMENT PLLC
Entity Type:Organization
Organization Name:ADVANCED PRECISION HEALTH MANAGEMENT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-505-3175
Mailing Address - Street 1:3765 SANCROFT AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-2658
Mailing Address - Country:US
Mailing Address - Phone:248-505-3175
Mailing Address - Fax:855-933-2016
Practice Address - Street 1:3765 SANCROFT AVE
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48324-2658
Practice Address - Country:US
Practice Address - Phone:248-505-3175
Practice Address - Fax:855-933-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty