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Organization
HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS
Active
Organization
HENRY FORD MACOMB HOSPITAL-WARREN CAMPUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE JACOB (MEDICAL EDUCATION ADMIN. ASSISTANT)
(586) 759-7641
Entity
Organization
Contact information
Practice address
123 DOLPHIN AVE, GALVESTON, TX 77550-3201
(248) 921-2195
Mailing address
123 DOLPHIN AVE, GALVESTON, TX 77550-3201
(248) 921-2195
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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