# HEALTH UNIT ON DAVISON AVENUE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HUDA Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962183921
- **Authorized official:** MRS. TRACY J WILSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (810) 580-1805

## Contact information

- **Practice address:** 13240 WOODROW WILSON ST, DETROIT, MI 48238-3692
- **Practice address phone:** (313) 865-8446
- **Practice address fax:** (313) 865-8474
- **Mailing address:** 13240 WOODROW WILSON ST, DETROIT, MI 48238-3692
- **Mailing address phone:** (313) 865-8446
- **Mailing address fax:** (313) 865-8474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 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