Organization
CHILDREN'S HOSPITAL OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEISUKE UEDA M.D. (PEDIATRIC RESIDENT)
(586) 532-3410
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5437
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5437
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
5301007841
MI
Other
Enumeration date
07/18/2012
Last updated
03/07/2013
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