| Detroit Medical Center/sinai Grace | |
|
4201 Saint Antoine St 9c Uhc Detroit MI 48201-2153 | |
| (313) 966-0515 | |
| Not Available |
| Full Name | Detroit Medical Center/sinai Grace |
|---|---|
| Speciality | Internal Medicine |
| Location | 4201 Saint Antoine St, Detroit, Michigan |
| Authorized Official Name and Position | Eric Devaughn Taylor (INTERN) |
| Authorized Official Contact | 8104497205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Medical Center/sinai Grace 26285 Berg Rd Apt 276 Southfield MI 48033-2432 Ph: (810) 449-7205 | Detroit Medical Center/sinai Grace 4201 Saint Antoine St 9c Uhc Detroit MI 48201-2153 Ph: (313) 966-0515 |
| NPI Number | 1750510756 |
|---|---|
| Provider Enumeration Date | 07/11/2009 |
| Last Update Date | 07/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750510756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L1594590 (Michigan) | Primary |
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