Deckerville Main Street Clinic

NPI 1164818977 - Clinic/Center - 261QR1300X

NPI Details
NPI 1164818977
Enumeration Date 04/08/2015
Last Updated 06/11/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DAVID DAVID
Position CEO
Phone (810) 376-3100
Fax (810) 376-8311
Practice Location
3532 MAIN ST
DECKERVILLE MI, 48427-9615, US
Phone (810) 376-3100
Fax (810) 376-8311
Business Location
3532 MAIN ST
DECKERVILLE MI, 48427-9615, US
Phone (810) 376-3100
Fax (810) 376-8311
Toxanomy
Taxonomy Code 261QR1300X
License State
License Number
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According to our database, Deckerville Main Street Clinic NPI is 1164818977, taxonomy code is 261QR1300X Deckerville Main Street Clinic physically located at 3532 Main St, Deckerville MI, 48427-9615. NPI Number 1033115704 has the healthcare provider type.

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1164818977 NPI number is provided on an as is basis without warranty of any kind. 1164818977 is maintained by the National Plan & Provider Enumeration System. The contents of Deckerville Main Street Clinic are for informational purposes only.