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Organization
DETROIT MEDICAL CENTER
Active
Organization
DETROIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES TYBURSKI (PROGRAM DIRECTOR)
(313) 577-5009
Entity
Organization
Contact information
Practice address
4201 ST. ANTOINE, 6C- UNIVERSITY HEAT CENTER, DETROIT, MI 48201
(313) 577-5009
Mailing address
4500 CASS AVE APT 922, UNIVERSITY TOWERS, DETROIT, MI 48201-1286
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4301092878
MI
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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