Citymedical Care Pc | |
11190 Gratiot Ave A1 Detroit MI 48213-1334 | |
(313) 245-9200 | |
(313) 245-9200 |
Full Name | Citymedical Care Pc |
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Speciality | Clinic/center |
Location | 11190 Gratiot Ave, Detroit, Michigan |
Authorized Official Name and Position | Michael Nwoke (CEO) |
Authorized Official Contact | 3132459200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Citymedical Care Pc Po Box 806464 Saint Clair Shores MI 48080-6464 Ph: (313) 245-9200 | Citymedical Care Pc 11190 Gratiot Ave A1 Detroit MI 48213-1334 Ph: (313) 245-9200 |
NPI Number | 1609192467 |
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Provider Enumeration Date | 04/19/2010 |
Last Update Date | 04/19/2010 |
Identifier | Type | State | Issuer |
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1609192467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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