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Organization
REAL ESTATE 4000 LLC
Active
Organization
REAL ESTATE 4000 LLC
Active
Parent organization
REAL ESTATE 4000 LLC
Other names
SUMPTER MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
REAL ESTATE 4000 LLC
Authorized official
MRS. VALERIE MAKHOOL (CREDENTIALING)
(313) 377-5331
Entity
Organization
Contact information
Practice address
19130 SUMPTER RD, SUMPTER TWP, MI 48111-8724
(313) 485-1411
Mailing address
27055 NORTHMORE ST, DEARBORN HEIGHTS, MI 48127-3643
(313) 377-5331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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