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Tish Higginbotham
NPI 1164696902 · on the registry since 2008 · sole proprietor
Practice
- Address
- 15601 Northline Rd
Southgate, MI 48195 - Phone
- (734) 785-7700
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan