Provider Demographics
NPI:1194909689
Name:HEALTH SOLUTIONS FAMILY PRACTICE PLLC
Entity type:Organization
Organization Name:HEALTH SOLUTIONS FAMILY PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ALICE
Authorized Official - Last Name:GREINER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-822-6001
Mailing Address - Street 1:6276 JACKSON RD
Mailing Address - Street 2:SUITE K
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-9579
Mailing Address - Country:US
Mailing Address - Phone:734-822-6001
Mailing Address - Fax:734-822-6003
Practice Address - Street 1:6276 JACKSON RD
Practice Address - Street 2:SUITE K
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-9579
Practice Address - Country:US
Practice Address - Phone:734-822-6001
Practice Address - Fax:734-822-6003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101013078208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MION44900OtherMEDICARE ID
H18922Medicare UPIN