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Organization

CONSULTING PHYSICIANS PC

Active
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Organization

CONSULTING PHYSICIANS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLARENCE O DIXON (PRACTICE MANAGER)
(248) 746-0882
Entity
Organization

Contact information

Practice address
24901 NORTHWESTERN HWY, SUITE 205, SOUTHFIELD, MI 48075-2203
(248) 746-0882
(248) 357-2380
Mailing address
24901 NORTHWESTERN HWY, SUITE 205, SOUTHFIELD, MI 48075-2203
(248) 746-0882
(248) 357-2380

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
250F312698
BCBS
Enumeration date
05/24/2006
Last updated
08/13/2013
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