Organization
METRO INFECTIOUS DISEASE SPECIALISTS P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALANNA WEAVER (MEDICAL BILLER)
(734) 284-1333
Entity
Organization
Contact information
Practice address
1628 FORD AVE, WYANDOTTE, MI 48192-2304
(734) 284-1333
(734) 284-1311
Mailing address
1628 FORD AVE, WYANDOTTE, MI 48192-2304
(734) 284-1333
(734) 284-1311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301083149
MI
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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