Organization
DETROIT AREA AGENCY ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA PATRICE BOWMAN (DIRECTOR OF FINANCE)
(313) 446-4444
Entity
Organization
Contact information
Practice address
1333 BREWERY PARK BLVD STE 200, DETROIT, MI 48207-4544
(313) 446-4444
(313) 446-4451
Mailing address
1333 BREWERY PARK BLVD STE 200, DETROIT, MI 48207-4544
(313) 446-4444
(313) 446-4451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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