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Organization
CITY MEDICAL P C
Active
Organization
CITY MEDICAL P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M STROIA (ADMINISTRATOR)
(734) 283-2262
Entity
Organization
Contact information
Practice address
13636 DIX TOLEDO, SOUTHGATE, MI 48195-2432
(734) 283-2262
(734) 283-8121
Mailing address
13636 DIX TOLEDO, SOUTHGATE, MI 48195-2432
(734) 283-2262
(734) 283-8121
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113657
—
MI
Enumeration date
11/06/2006
Last updated
01/07/2010
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