| Grand River Health Center, Plc | |
|
19460 Grand River Ave Detroit MI 48223-1200 | |
| (313) 387-1097 | |
| (313) 387-8795 |
| Full Name | Grand River Health Center, Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 19460 Grand River Ave, Detroit, Michigan |
| Authorized Official Name and Position | Dennis Treece (DIRECTOR) |
| Authorized Official Contact | 7342662780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand River Health Center, Plc 19460 Grand River Ave Detroit MI 48223-1200 Ph: (313) 387-1097 | Grand River Health Center, Plc 19460 Grand River Ave Detroit MI 48223-1200 Ph: (313) 387-1097 |
| NPI Number | 1689646846 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689646846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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