E & G Medical Associates Pc

NPI 1053634188 - Internal Medicine - 207R00000X

NPI Details
NPI 1053634188
Enumeration Date 03/03/2010
Last Updated 03/03/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ALAN F ALAN
Position PRESIDENT
Phone (313) 567-3551
Fax (313) 567-2905
Practice Location
2950 E JEFFERSON AVE
DETROIT MI, 48207-4208, US
Phone (313) 567-3551
Fax (313) 567-2905
Business Location
PO BOX 252643
WEST BLOOMFIELD MI, 48325-2643, US
Phone (313) 567-3551
Fax (313) 567-2905
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301046145
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According to our database, E & G Medical Associates Pc NPI is 1053634188, taxonomy code is 207R00000X and license number is 4301046145, license state is located at Michigan. E & G Medical Associates Pc physically located at 2950 E Jefferson Ave, Detroit MI, 48207-4208. NPI Number 1033115704 has the healthcare provider type.

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1053634188 NPI number is provided on an as is basis without warranty of any kind. 1053634188 is maintained by the National Plan & Provider Enumeration System. The contents of E & G Medical Associates Pc are for informational purposes only.