Provider Demographics
NPI:1710289665
Name:TRANSITIONS OF CARE, PLLC
Entity Type:Organization
Organization Name:TRANSITIONS OF CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:WILBORN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-812-4219
Mailing Address - Street 1:3080 FLEMING LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-8000
Mailing Address - Country:US
Mailing Address - Phone:734-812-4219
Mailing Address - Fax:
Practice Address - Street 1:3080 FLEMING LAKE DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-8000
Practice Address - Country:US
Practice Address - Phone:734-812-4219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty