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Organization
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Active
Organization
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Active
Other names
University Physician Grou
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL B ABOU-SAMRA MD, PH.D. (DIVISION CHIEF ENDOCRINOLOGY)
(313) 745-4008
Entity
Organization
Contact information
Practice address
4201 SAINT ANTOINE ST, UNIVERSITY HEALTH CENTER - 4H, DETROIT, MI 48201-2153
(313) 745-4008
Mailing address
4201 SAINT ANTOINE ST, UNIVERSITY HEALTH CENTER - 4H, DETROIT, MI 48201-2153
(313) 745-4008
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4301089157
MI
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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