| Six Mile Medical, Pllc | |
|
7145 W Mcnichols Rd Detroit MI 48221-2664 | |
| (313) 878-8454 | |
| Not Available |
| Full Name | Six Mile Medical, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 7145 W Mcnichols Rd, Detroit, Michigan |
| Authorized Official Name and Position | Fitzgerald Hudson (PRESIDENT) |
| Authorized Official Contact | 3138788454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Six Mile Medical, Pllc 7145 W Mcnichols Rd Detroit MI 48221-2664 Ph: (313) 878-8454 | Six Mile Medical, Pllc 7145 W Mcnichols Rd Detroit MI 48221-2664 Ph: (313) 878-8454 |
| NPI Number | 1558631473 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 01/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558631473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4301091092 (Michigan) | Primary |
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