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Organization
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Active
Organization
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA JORDAN (ADMINISTRATIVE DIRECTOR)
(313) 577-2378
Entity
Organization
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 616-1424
Mailing address
540 E CANFIELD ST, DETROIT, MI 48201-1928
(313) 577-5245
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
04/05/2011
Last updated
06/06/2012
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