| Elmwood Park Medical Clinic Pc | |
|
2950 E Jefferson Ave Detroit MI 48207-4208 | |
| (313) 399-5083 | |
| Not Available |
| Full Name | Elmwood Park Medical Clinic Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2950 E Jefferson Ave, Detroit, Michigan |
| Authorized Official Name and Position | George Evans (OWNER) |
| Authorized Official Contact | 3133995083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmwood Park Medical Clinic Pc 2950 E Jefferson Ave Detroit MI 48207-4208 Ph: () - | Elmwood Park Medical Clinic Pc 2950 E Jefferson Ave Detroit MI 48207-4208 Ph: (313) 399-5083 |
| NPI Number | 1538407465 |
|---|---|
| Provider Enumeration Date | 01/28/2013 |
| Last Update Date | 01/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538407465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101007577 (Michigan) | Primary |
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