Moulton Group Pc

NPI 1053395798 - Specialist - 174400000X

NPI Details
NPI 1053395798
Enumeration Date 12/06/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PAULETTE PATRICIA PAULETTE
Position OWNER
Phone (734) 241-4950
Fax (734) 243-4269
Practice Location
2246 N MONROE ST
MONROE MI, 48162-4254, US
Phone (734) 241-4950
Fax (734) 243-4269
Business Location
PO BOX 2503
MONROE MI, 48161-7503, US
Phone (734) 241-4950
Fax (734) 243-4269
Toxanomy
Taxonomy Code 174400000X
License State Michigan
License Number 4301042774
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According to our database, Moulton Group Pc NPI is 1053395798, taxonomy code is 174400000X and license number is 4301042774, license state is located at Michigan. Moulton Group Pc physically located at 2246 N Monroe St, Monroe MI, 48162-4254. NPI Number 1033115704 has the healthcare provider type.

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1053395798 NPI number is provided on an as is basis without warranty of any kind. 1053395798 is maintained by the National Plan & Provider Enumeration System. The contents of Moulton Group Pc are for informational purposes only.