| Summit Of Detroit, P.c. | |
|
15801 W Mcnichols Detroit MI 48235-3543 | |
| (313) 272-8450 | |
| (313) 272-8455 |
| Full Name | Summit Of Detroit, P.c. |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 15801 W Mcnichols, Detroit, Michigan |
| Authorized Official Name and Position | Anise L Burrell (ADMINISTRATOR) |
| Authorized Official Contact | 3132728450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Of Detroit, P.c. 15801 W Mcnichols Detroit MI 48235-3543 Ph: (313) 272-8450 | Summit Of Detroit, P.c. 15801 W Mcnichols Detroit MI 48235-3543 Ph: (313) 272-8450 |
| NPI Number | 1558497008 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 01/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558497008 | NPI | - | NPPES |
| 160Q260450 | Other | MI | BCBSM |
| 3802006439 | Other | MI | EIN |
| 4404690 | Other | MI | STATE OF MI MEDICAID |
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