| City Med Clinic Llc | |
|
11190 Gratiot Ave Ste A Detroit MI 48213-1334 | |
| (248) 996-5025 | |
| Not Available |
| Full Name | City Med Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 11190 Gratiot Ave, Detroit, Michigan |
| Authorized Official Name and Position | Sameer Shriram Bhagwat (ADMINISTRATOR) |
| Authorized Official Contact | 2489965025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Med Clinic Llc 28930 Greening St Farmington Hills MI 48334-2985 Ph: (248) 996-5025 | City Med Clinic Llc 11190 Gratiot Ave Ste A Detroit MI 48213-1334 Ph: (248) 996-5025 |
| NPI Number | 1134361702 |
|---|---|
| Provider Enumeration Date | 03/29/2009 |
| Last Update Date | 03/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134361702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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