Provider Demographics
NPI:1477351625
Name:VMD PRIMARY PROVIDERS EASTERN MICHIGAN
Entity type:Organization
Organization Name:VMD PRIMARY PROVIDERS EASTERN MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR REVENUE CYCLE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:SZOKOLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-570-0021
Mailing Address - Street 1:29409 HAGGERTY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-5504
Mailing Address - Country:US
Mailing Address - Phone:312-465-7900
Mailing Address - Fax:
Practice Address - Street 1:29409 HAGGERTY RD STE 100
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-5504
Practice Address - Country:US
Practice Address - Phone:312-465-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VMD PRIMARY PROVIDERS EASTERN MICHIGAN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty