Vandyke Medical Clinic Management Corp

NPI 1174632087 - Clinic/Center - 261QH0100X

NPI Details
NPI 1174632087
Enumeration Date 08/30/2006
Last Updated 12/01/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ERNEST A ERNEST
Position PRESIDENT
Phone (313) 893-2010
Fax (313) 893-3308
Practice Location
19431 VAN DYKE ST
DETROIT MI, 48234-3323, US
Phone (313) 893-2010
Fax (313) 893-3308
Business Location
19431 VAN DYKE ST
DETROIT MI, 48234-3323, US
Phone (313) 893-2010
Fax (313) 893-3308
Toxanomy
Taxonomy Code 261QH0100X
License State Michigan
License Number 4301081357
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According to our database, Vandyke Medical Clinic Management Corp NPI is 1174632087, taxonomy code is 261QH0100X and license number is 4301081357, license state is located at Michigan. Vandyke Medical Clinic Management Corp physically located at 19431 Van Dyke St, Detroit MI, 48234-3323. NPI Number 1033115704 has the healthcare provider type.

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1174632087 NPI number is provided on an as is basis without warranty of any kind. 1174632087 is maintained by the National Plan & Provider Enumeration System. The contents of Vandyke Medical Clinic Management Corp are for informational purposes only.