Organization
CITY OF DETROIT
Active
Other names
Detroit Health Department, City of Detroit Wellness Health Promo
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON ATKINS (DIRECTOR OF CLINICAL ADMINISTRATION)
(313) 348-2883
Entity
Organization
Contact information
Practice address
100 MACK AVE FL 1, DETROIT, MI 48201-2416
(313) 480-3831
(313) 877-9305
Mailing address
100 MACK AVE FL 3, DETROIT, MI 48201-2416
(313) 876-0349
(313) 877-9305
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4456991
—
MI
Enumeration date
10/20/2010
Last updated
04/17/2024
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