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Organization
WAYNE STATE UNIVERSITY
Active
Organization
WAYNE STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DUGGAN (CEO)
(313) 747-5147
Entity
Organization
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 796-6102
Mailing address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-5147
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4301093013
MI
Other
Enumeration date
07/20/2008
Last updated
07/20/2008
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