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Organization
TEL-FORD MEDICAL WALKIN CLINIC PLLC
Active
Organization
TEL-FORD MEDICAL WALKIN CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRWIN MARCUS LUTWIN D.O. (DOCTOR)
(313) 563-4506
Entity
Organization
Contact information
Practice address
2220 N TELEGRAPH RD, DEARBORN, MI 48128-2213
(313) 563-4506
(313) 563-8443
Mailing address
2220 N TELEGRAPH RD, DEARBORN, MI 48128-2213
(313) 563-4506
(313) 563-8443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101005442
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013979244
MEDICARE
MI
05
—
1013979244
—
MI
Enumeration date
10/19/2009
Last updated
10/19/2009
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