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Organization
YHFMC PC
Active
Organization
YHFMC PC
Active
Other names
Your Health First/Tower Medical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE R. DENSLEY MD (CHIEF MEDICAL OFFICER)
(313) 836-2400
Entity
Organization
Contact information
Practice address
15266 GRAND RIVER AVE, DETROIT, MI 48227-2213
(313) 836-2400
(313) 836-2403
Mailing address
15266 GRAND RIVER AVE, DETROIT, MI 48227-2213
(313) 836-2400
(313) 836-2403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4938874
—
MI
05
—
4938883
—
MI
Enumeration date
04/14/2008
Last updated
04/14/2008
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