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Organization
DETROIT MEDICAL CENTER
Active
Organization
DETROIT MEDICAL CENTER
Active
Other names
Tenet Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
SREEDHAR REDDY MITTA MD (RESIDENT)
(865) 771-5715
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5147
Mailing address
678 SELDEN ST, DETROIT, MI 48201-2200
(865) 771-5715
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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