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Organization
CHILDREN'S HOSPITAL OF MICHIGAN, DETROIT MEDICAL CENTER
Active
Organization
CHILDREN'S HOSPITAL OF MICHIGAN, DETROIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE M. MORTENSEN M.D (DIRECTOR, PEDIATRIC RESIDENCY)
(313) 966-0254
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN ST, CHILDREN'S HOSPITAL OF MICHIGAN, DETROIT, MI 48201-2119
(313) 745-5638
Mailing address
4500 CASS AVE, APARTMENT NO. 617, UNIVERSITY TOWERS, DETROIT, MI 48201-1288
(313) 715-0162
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
4301092198
MI
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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