| Medicina Urbana West Vernor Pllc | |
|
5700 W Vernor Hwy Detroit MI 48209 | |
| (313) 586-3066 | |
| (313) 586-3165 |
| Full Name | Medicina Urbana West Vernor Pllc |
|---|---|
| Speciality | General Practice |
| Location | 5700 W Vernor Hwy, Detroit, Michigan |
| Authorized Official Name and Position | Mark Ryan Beard (MEMBER) |
| Authorized Official Contact | 3132811362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicina Urbana West Vernor Pllc 5700 W Vernor Hwy Detroit MI 48209-2158 Ph: (313) 586-7481 | Medicina Urbana West Vernor Pllc 5700 W Vernor Hwy Detroit MI 48209 Ph: (313) 586-3066 |
| NPI Number | 1740793777 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 05/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740793777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 5101017883 (Michigan) | Primary |
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