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Organization
HEALTH UNIT ON DAVISON AVENUE
Active
Organization
HEALTH UNIT ON DAVISON AVENUE
Active
Other names
HUDA Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY J WILSON (EXECUTIVE DIRECTOR)
(810) 580-1805
Entity
Organization
Contact information
Practice address
13240 WOODROW WILSON ST, DETROIT, MI 48238-3692
(313) 865-8446
(313) 865-8474
Mailing address
13240 WOODROW WILSON ST, DETROIT, MI 48238-3692
(313) 865-8446
(313) 865-8474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
207QA0505X
Adult Medicine Physician
—
NULL
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
3336C0002X
Clinic Pharmacy
—
NULL
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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