| 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 |
| Remove 1053395798 NPI Number | |
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.
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