Grace University Medical Group

NPI 1447215538 - Internal Medicine - 207RH0003X

NPI Details
NPI 1447215538
Enumeration Date 04/20/2006
Last Updated 09/19/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH KENNETH
Position MANAGER
Phone (313) 966-4946
Fax
Practice Location
6071 W OUTER DR
DEPT OF MEDICINE 4TH FLOOR
DETROIT MI, 48235-2624, US
Phone (313) 966-4946
Fax
Business Location
PO BOX 321061
DETROIT MI, 48232-1061, US
Phone (248) 543-8070
Fax
Toxanomy
Taxonomy Code 207RH0003X
License State Michigan
License Number 4301028293
Remove 1447215538 NPI Number
 

According to our database, Grace University Medical Group NPI is 1447215538, taxonomy code is 207RH0003X and license number is 4301028293, license state is located at Michigan. Grace University Medical Group physically located at 6071 W Outer Dr, Detroit MI, 48235-2624. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1447215538 NPI number is provided on an as is basis without warranty of any kind. 1447215538 is maintained by the National Plan & Provider Enumeration System. The contents of Grace University Medical Group are for informational purposes only.