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Organization

MICHIGAN HEALTH CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AZHAR A ESHO MD (PRESIDENT)
(248) 356-8567
Entity
Organization

Contact information

Practice address
4808 W VERNOR, MICHIGAN HEALTH CENTER, DETROIT, MI 48209
(313) 843-2500
(248) 356-3442
Mailing address
26400 W TWELVE MILE RD, STE 160, SOUTHFIELD, MI 48034
(248) 356-8567
(248) 356-3442

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AE059188
MI
207R00000X
Internal Medicine Physician
IN076343
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4458172
MI
05
4600718
MI
Enumeration date
08/01/2006
Last updated
08/22/2020
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