| Detroit Medical Center | |
|
4201 Saint Antoine St Ste 2e Detroit MI 48201-2153 | |
| (313) 745-4832 | |
| Not Available |
| Full Name | Detroit Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 4201 Saint Antoine St Ste 2e, Detroit, Michigan |
| Authorized Official Name and Position | Nouredin Alebouyeh (RESIDENT) |
| Authorized Official Contact | 3139746157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Medical Center 4201 Saint Antoine St Ste 2e Detroit MI 48201-2153 Ph: () - | Detroit Medical Center 4201 Saint Antoine St Ste 2e Detroit MI 48201-2153 Ph: (313) 745-4832 |
| NPI Number | 1356510085 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356510085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301090867 (Michigan) | Secondary |
| 282N00000X | General Acute Care Hospital | 4301090867 (Michigan) | Primary |
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