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Organization
SERAPHIM NETWORK LLC
Active
Organization
SERAPHIM NETWORK LLC
Active
Other names
Seraphim Medical Network
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA KATHLEENE MOTLEY M.D. (PRESIDENT)
(248) 552-1327
Entity
Organization
Contact information
Practice address
17256 SHERFIELD PL, SOUTHFIELD, MI 48075-1969
(248) 552-1327
Mailing address
17256 SHERFIELD PL, SOUTHFIELD, MI 48075-1969
(248) 552-1327
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301407599
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D1064376
CLIA
MI
Enumeration date
01/25/2013
Last updated
01/25/2013
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