Organization
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA JORDAN (ADMINISTRATIVE DIRECTOR)
(313) 577-2378
Entity
Organization
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 616-1424
Mailing address
540 E CANFIELD ST, DETROIT, MI 48201-1928
(313) 577-5245
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
04/05/2011
Last updated
06/06/2012
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