My Guardian Angel

Specialty details in registry · Waterford, MI

Call (248) 673-5505 Directions

At a glance

2460 Georgeland Dr, Waterford, MI 48329-3744

NPPES record updated May 15, 2024. Public records can lag behind changes at a practice.

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Practice location

2460 Georgeland Dr
Waterford, MI 48329-3744

Professional details: NPI, taxonomy & registry record

NPI1356190094

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 253Z00000X
Enumeration date: May 15, 2024
Record updated: May 15, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

253Z00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2460 Georgeland Dr
Waterford, MI 48329-3744

Phone: (248) 673-5505

Mailing address

25680 CATALINA ST

SOUTHFIELD, MI 480751739

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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