Organization
GRETCHEN'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEODGE HILL PA (OWNER)
(734) 699-5400
Entity
Organization
Contact information
Practice address
25 OWEN ST, BELLEVILLE, MI 48111-2921
(734) 699-5400
Mailing address
46036 MICHIGAN AVE # 318, CANTON, MI 48188-2304
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/21/2020
Last updated
08/12/2020
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