| Global Health Ipa | |
|
15266 Grand River Ave Detroit MI 48227-2213 | |
| (313) 836-2400 | |
| Not Available |
| Full Name | Global Health Ipa |
|---|---|
| Speciality | Family Medicine |
| Location | 15266 Grand River Ave, Detroit, Michigan |
| Authorized Official Name and Position | Mary L. Jackson-hammond (SECRETARY) |
| Authorized Official Contact | 3138318805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Global Health Ipa 3800 Woodward Ave Ste 418 Detroit MI 48201-2061 Ph: (313) 831-8805 | Global Health Ipa 15266 Grand River Ave Detroit MI 48227-2213 Ph: (313) 836-2400 |
| NPI Number | 1912143983 |
|---|---|
| Provider Enumeration Date | 12/23/2008 |
| Last Update Date | 12/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912143983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301046737 (Michigan) | Primary |
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