| Green Cross Medical Center Pc | |
|
18041 Greenfield Rd Detroit MI 48235-3120 | |
| (313) 837-0072 | |
| (313) 837-0003 |
| Full Name | Green Cross Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 18041 Greenfield Rd, Detroit, Michigan |
| Authorized Official Name and Position | Emilia Santos Quizon (RN) |
| Authorized Official Contact | 2485638471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Cross Medical Center Pc 18041 Greenfield Rd Detroit MI 48235-3120 Ph: (313) 837-0072 | Green Cross Medical Center Pc 18041 Greenfield Rd Detroit MI 48235-3120 Ph: (313) 837-0072 |
| NPI Number | 1982194338 |
|---|---|
| Provider Enumeration Date | 05/11/2018 |
| Last Update Date | 05/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982194338 | NPI | - | NPPES |
| 7039547 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301033614 (Michigan) | Primary |
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