| Detroit - Gratiot P.c. | |
|
11180 Gratiot Ave Detroit MI 48213-1363 | |
| (313) 245-1780 | |
| Not Available |
| Full Name | Detroit - Gratiot P.c. |
|---|---|
| Speciality | Dentist |
| Location | 11180 Gratiot Ave, Detroit, Michigan |
| Authorized Official Name and Position | Mike Cole (INSURANCE DIRECTOR) |
| Authorized Official Contact | 7277261611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit - Gratiot P.c. 11180 Gratiot Ave Detroit MI 48213-1363 Ph: () - | Detroit - Gratiot P.c. 11180 Gratiot Ave Detroit MI 48213-1363 Ph: (313) 245-1780 |
| NPI Number | 1841473568 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841473568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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