Basic Information
| Provider Information | |||||||||
| NPI: | 1639748734 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ADFINITAS HEALTH PALLIATIVE SERVICES OF MICHIGAN, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7250 PARKWAY DR STE 500 | ||||||||
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| City: | HANOVER | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210761343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4439490814 | ||||||||
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| Practice Location | |||||||||
| Address1: | 850 W BARAGA AVE | ||||||||
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| City: | MARQUETTE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 498554550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9064493000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2021 | ||||||||
| LastUpdateDate: | 06/07/2022 | ||||||||
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| AuthorizedOfficialLastName: | DELBRUGGE | ||||||||
| AuthorizedOfficialFirstName: | TIM | ||||||||
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| AuthorizedOfficialTitleorPosition: | AO | ||||||||
| AuthorizedOfficialTelephone: | 3016938707 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 06/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0002X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Hospice and Palliative Medicine |
No ID Information.