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Organization
ALPHA AND OMEGA PRIMARY HEALTH CARE INC
Active
Organization
ALPHA AND OMEGA PRIMARY HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKIE HARDAWAY M.D. (OWNER)
(313) 342-2576
Entity
Organization
Contact information
Practice address
15865 WYOMING ST, DETROIT, MI 48238-1136
(313) 342-2576
Mailing address
15865 WYOMING ST, DETROIT, MI 48238-1136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301061729
MI
208000000X
Pediatrics Physician
4301061729
MI
Other
Enumeration date
02/27/2008
Last updated
04/29/2008
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