Organization
DMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIWEN TANG (FELLOW)
(313) 745-5993
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5481
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
4301084603
MI
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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