Jefferson Medical Industrial Clinic Pc | |
2141 E Jefferson Ave Detroit MI 48207-4128 | |
(313) 259-9077 | |
(313) 259-3722 |
Full Name | Jefferson Medical Industrial Clinic Pc |
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Speciality | Internal Medicine |
Location | 2141 E Jefferson Ave, Detroit, Michigan |
Authorized Official Name and Position | Arvind S Patel (OWNER) |
Authorized Official Contact | 3132599077 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jefferson Medical Industrial Clinic Pc 2141 E Jefferson Ave Detroit MI 48207-4128 Ph: (313) 259-9077 | Jefferson Medical Industrial Clinic Pc 2141 E Jefferson Ave Detroit MI 48207-4128 Ph: (313) 259-9077 |
NPI Number | 1407178627 |
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Provider Enumeration Date | 02/16/2010 |
Last Update Date | 02/16/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407178627 | NPI | - | NPPES |
1108297872 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301034282 (Michigan) | Primary |
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