| Divine Medical Care | |
|
2141 E Jefferson Ave Suite 2 Detroit MI 48207-4128 | |
| (313) 393-3141 | |
| (313) 393-3144 |
| Full Name | Divine Medical Care |
|---|---|
| Speciality | Clinic/center |
| Location | 2141 E Jefferson Ave, Detroit, Michigan |
| Authorized Official Name and Position | Peter Nwoke (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3133933141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Medical Care 2141 E Jefferson Ave Suite 2 Detroit MI 48207-4128 Ph: (313) 393-3141 | Divine Medical Care 2141 E Jefferson Ave Suite 2 Detroit MI 48207-4128 Ph: (313) 393-3141 |
| NPI Number | 1225363203 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225363203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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