Organization
E & G MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN F GREEN M.D. (PRESIDENT)
(313) 567-3551
Entity
Organization
Contact information
Practice address
2950 E JEFFERSON AVE, DETROIT, MI 48207-4208
(313) 567-3551
(313) 567-2905
Mailing address
PO BOX 252643, WEST BLOOMFIELD, MI 48325-2643
(313) 567-3551
(313) 567-2905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301046145
MI
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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