| Detroit Receiving Hospital And University Health Center | |
|
4201 Saint Antoine St Detroit MI 48201-2153 | |
| (313) 745-4622 | |
| Not Available |
| Full Name | Detroit Receiving Hospital And University Health Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4201 Saint Antoine St, Detroit, Michigan |
| Authorized Official Name and Position | Gloria Larkins (VICE PRESIDENT OF MICHIGAN) |
| Authorized Official Contact | 3137452117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Receiving Hospital And University Health Center Po Box 67000 Dept 614150 Detroit MI 48267-4150 Ph: () - | Detroit Receiving Hospital And University Health Center 4201 Saint Antoine St Detroit MI 48201-2153 Ph: (313) 745-4622 |
| NPI Number | 1679808042 |
|---|---|
| Provider Enumeration Date | 10/02/2009 |
| Last Update Date | 10/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679808042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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