# EAST VILLAGE MEDICAL CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518057330
- **Authorized official:** MARTINA LENORA ABRAMS-ALDERMAN (OFFICE MANAGER)
- **Authorized official phone:** (313) 624-3000

## Contact information

- **Practice address:** 5728 SCHAEFER RD, SUITE 100, DEARBORN, MI 48126-2298
- **Practice address phone:** (313) 624-3000
- **Practice address fax:** (313) 846-4087
- **Mailing address:** 5728 SCHAEFER RD, SUITE 200, DEARBORN, MI 48126-2298
- **Mailing address phone:** (313) 624-2000
- **Mailing address fax:** (313) 846-4514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 08/04/2015