# WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063701522
- **Authorized official:** DR. MARTHA JORDAN (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (313) 577-2378

## Contact information

- **Practice address:** 720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
- **Practice address phone:** (404) 616-1424
- **Mailing address:** 540 E CANFIELD ST, DETROIT, MI 48201-1928
- **Mailing address phone:** (313) 577-5245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2011
- **Last updated:** 06/06/2012