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Organization
ST CLAIR ADULT CARE PC
Active
Organization
ST CLAIR ADULT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE DENSLEY M.D. (MEDICAL DIRECTOR)
(248) 859-6369
Entity
Organization
Contact information
Practice address
25932 DEQUINDRE RD, STE. C, WARREN, MI 48091-1071
(248) 859-6369
(586) 486-5552
Mailing address
25932 DEQUINDRE RD, STE. C, WARREN, MI 48091-1071
(248) 859-6369
(586) 486-5552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301039079
MI
Other
Enumeration date
09/04/2015
Last updated
09/08/2015
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