Organization
SERAPHIM NETWORK LLC
Active
Other names
Seraphim Medical Network
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA KATHLEENE MOTLEY M.D. (PRESIDENT)
(248) 552-1327
Entity
Organization
Contact information
Practice address
17256 SHERFIELD PL, SOUTHFIELD, MI 48075-1969
(248) 552-1327
Mailing address
17256 SHERFIELD PL, SOUTHFIELD, MI 48075-1969
(248) 552-1327
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301407599
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D1064376
CLIA
MI
Enumeration date
01/25/2013
Last updated
01/25/2013
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