Revolution Wellness

LBN: Macomb Primary Care Pc
Revolution Wellness is an health care organization with primary practice located at 51850 Dequindre Rd Ste 2 , Shelby Township MI 48316-2806. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Macomb Primary Care Pc can be contacted via phone (586) 323-0301, or through Mansour, Chadi via phone (586) 323-0301.

Contact Information

Primary practice address
51850 Dequindre Rd Ste 2 Shelby Township MI 48316-2806
Phone: (586) 323-0301
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mansour, Chadi Doctor of Medicine (MD)
Phone: (586) 323-0301

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301077635 Michigan

Profile Details

NPI number 1073842241
LBN Legal business name Macomb Primary Care Pc
DBA Doing business as Revolution Wellness
Authorized official Mansour, Chadi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2009
Last updated Sep 17th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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