Uscg Clinic Sector Detroit

NPI 1477620755 - Clinic/Center - 261QM1100X

NPI Details
NPI 1477620755
Enumeration Date 11/29/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOSEPH P JOSEPH
Position CHIEF, HEALTH SERVICES DIVISION
Phone (586) 307-5017
Fax (586) 307-5010
Practice Location
43401 N. JEFFERSON, BLDG 825
SELFRIDGE ANGB MI, 48045, US
Phone (586) 307-5017
Fax (586) 307-5010
Business Location
43401 N. JEFFERSON, BLDG 825
SELFRIDGE ANGB MI, 48045, US
Phone (586) 307-5017
Fax (586) 307-5010
Toxanomy
Taxonomy Code 261QM1100X
License State Michigan
License Number 4301062131
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According to our database, Uscg Clinic Sector Detroit NPI is 1477620755, taxonomy code is 261QM1100X and license number is 4301062131, license state is located at Michigan. Uscg Clinic Sector Detroit physically located at 43401 N. Jefferson, Bldg 825, Selfridge Angb MI, 48045. NPI Number 1033115704 has the healthcare provider type.

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1477620755 NPI number is provided on an as is basis without warranty of any kind. 1477620755 is maintained by the National Plan & Provider Enumeration System. The contents of Uscg Clinic Sector Detroit are for informational purposes only.