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Organization
DR. GARY BURNSTEIN COMMUNITY HEALTH CLINIC
Active
Organization
DR. GARY BURNSTEIN COMMUNITY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN FULFORD BROX MD (CEO)
(248) 309-3795
Entity
Organization
Contact information
Practice address
45580 WOODWARD AVE, PONTIAC, MI 48341-5016
(248) 309-3795
(248) 309-3835
Mailing address
45580 WOODWARD AVE, PONTIAC, MI 48341-5016
(248) 309-3795
(248) 309-3835
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QD0000X
Dental Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
333600000X
Pharmacy
—
NULL
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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