Organization
ASSOCIATED HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VOLNA CLERMONT M.D. (PRESIDENT)
(313) 341-7000
Entity
Organization
Contact information
Practice address
2434 PURITAN ST, DETROIT, MI 48238-1416
(313) 341-7000
Mailing address
2434 PURITAN ST, DETROIT, MI 48238-1416
(313) 341-7000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301023027
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F42685
MOLINA HEALTH PLAN
MI
Enumeration date
03/12/2007
Last updated
06/23/2008
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