# ALPHA AND OMEGA PRIMARY HEALTH CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770752495
- **Authorized official:** DR. RICKIE HARDAWAY M.D. (OWNER)
- **Authorized official phone:** (313) 342-2576

## Contact information

- **Practice address:** 15865 WYOMING ST, DETROIT, MI 48238-1136
- **Practice address phone:** (313) 342-2576
- **Mailing address:** 15865 WYOMING ST, DETROIT, MI 48238-1136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301061729 | MI | Yes |
| 208000000X | Pediatrics Physician | 4301061729 | MI | — |

## Other

- **Enumeration date:** 02/27/2008
- **Last updated:** 04/29/2008