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Organization
PROFESSIONAL HOME DOCTORS
Active
Organization
PROFESSIONAL HOME DOCTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORLANDO WASHINGTON (MANAGER)
(248) 506-9098
Entity
Organization
Contact information
Practice address
18444 W. 10MILE ROAD, SUITE 204, SOUTHFIELD, MI 48075-2626
(248) 539-4640
(248) 539-4645
Mailing address
3200 GREENFIELD RD STE 300, DEARBORN, MI 48120-1800
(313) 334-6395
(248) 539-4645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301038582
MI
Other
Enumeration date
09/09/2011
Last updated
09/27/2019
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