Michigan Head & Neck Institute Pc

NPI 1104871250 - Dentist - 122300000X

NPI Details
NPI 1104871250
Enumeration Date 05/24/2006
Last Updated 12/29/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD E RICHARD
Position OWNER
Phone (586) 573-0438
Fax (586) 573-0186
Practice Location
3665 E 11 MILE RD
WARREN MI, 48092-4300, US
Phone (586) 573-0438
Fax (586) 573-0186
Business Location
3665 E 11 MILE RD
WARREN MI, 48092-4300, US
Phone (586) 573-0438
Fax (586) 573-0186
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number 009174
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According to our database, Michigan Head & Neck Institute Pc NPI is 1104871250, taxonomy code is 122300000X and license number is 009174, license state is located at Michigan. Michigan Head & Neck Institute Pc physically located at 3665 E 11 Mile Rd, Warren MI, 48092-4300. NPI Number 1033115704 has the healthcare provider type.

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1104871250 NPI number is provided on an as is basis without warranty of any kind. 1104871250 is maintained by the National Plan & Provider Enumeration System. The contents of Michigan Head & Neck Institute Pc are for informational purposes only.