David O Washington Mdpc | |
19251 Bretton Dr Detroit MI 48223-1363 | |
(313) 452-0384 | |
Not Available |
Full Name | David O Washington Mdpc |
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Speciality | Clinic/center - Primary Care |
Location | 19251 Bretton Dr, Detroit, Michigan |
Authorized Official Name and Position | David O Washington (OWNER) |
Authorized Official Contact | 3134520384 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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David O Washington Mdpc 19251 Bretton Dr Detroit MI 48223-1363 Ph: (313) 452-0384 | David O Washington Mdpc 19251 Bretton Dr Detroit MI 48223-1363 Ph: (313) 452-0384 |
NPI Number | 1558538132 |
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Provider Enumeration Date | 05/13/2008 |
Last Update Date | 05/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558538132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 4301062062 (Michigan) | Primary |
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