Organization
MIDDLEBROOK MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LABRETTA QUICK (BILLING SUPERVISOR)
(313) 864-3000
Entity
Organization
Contact information
Practice address
20001 LIVERNOIS AVE, SUITE 500, DETROIT, MI 48221-4122
(313) 864-3000
(313) 864-5423
Mailing address
20176 LIVERNOIS AVE, DETROIT, MI 48221-1346
(313) 864-3000
(313) 864-5423
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
07/02/2010
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