| |
200 Renaissance Ctr Ste 1202, Detroit, MI 48243-1300 | |
(313) 334-4302 | |
(313) 307-0099 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 200 Renaissance Ctr Ste 1202, Detroit, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902370919 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6200 | 200 Renaissance Ctr Ste 1202, Detroit, MI 48243-1300 Ph: (313) 334-4302 |