| Nui Loa Pc | |
|
502 Pemberton Grosse Pointe Park MI 48230 | |
| (313) 515-6200 | |
| Not Available |
| Full Name | Nui Loa Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 502 Pemberton, Grosse Pointe Park, Michigan |
| Authorized Official Name and Position | James Loffredo (PRESIDENT) |
| Authorized Official Contact | 3135156200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nui Loa Pc 502 Pemberton Grosse Pointe Park MI 48230 Ph: () - | Nui Loa Pc 502 Pemberton Grosse Pointe Park MI 48230 Ph: (313) 515-6200 |
| NPI Number | 1215217005 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 08/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215217005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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