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Organization
DR ENOS MARCUS HUMBLES D.O. LLC
Active
Organization
DR ENOS MARCUS HUMBLES D.O. LLC
Active
Parent organization
REDFORD URGENT CARE MEDICAL CLINIC
Other names
Redford Urgent Care Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDFORD URGENT CARE MEDICAL CLINIC
Authorized official
DR. ENOS MARCUS HUMBLES D.O. (OWNER/MEDICAL DIRECTOR)
(313) 535-7880
Entity
Organization
Contact information
Practice address
23405 PLYMOUTH RD, REDFORD, MI 48239-1433
(313) 535-7880
(313) 535-8388
Mailing address
23405 PLYMOUTH RD, REDFORD, MI 48239-1433
(313) 535-8388
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101011838
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114506064
—
MI
01
—
1891935656
GROUP NPI NUMBER
MI
01
—
1902850472
NPI
—
01
—
5101011838
STATE OF MICHIGAN
MI
Enumeration date
03/05/2009
Last updated
09/11/2009
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