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Organization
SINAI GRACE HOSPITAL
Active
Organization
SINAI GRACE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LUBAWAY VICE PRESIDENT (VICE PRESIDENT FINANCE)
(313) 966-2026
Entity
Organization
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-2026
(313) 578-3964
Mailing address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-2026
(313) 578-3964
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H27017
BCBSM
MI
Enumeration date
09/27/2007
Last updated
10/02/2007
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