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Organization
HEALTH MANAGEMENT CENTER OF MICHIGAN, PLLC
Active
Organization
HEALTH MANAGEMENT CENTER OF MICHIGAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS GASPAR MADURO JR. MD (MEDICAL DIRECTOR)
(248) 439-0557
Entity
Organization
Contact information
Practice address
808 LIVERNOIS ST, FERNDALE, MI 48220-2309
(248) 439-0557
Mailing address
808 LIVERNOIS ST, FERNDALE, MI 48220-2309
(248) 439-0557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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