Organization
MED SOURCE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE O DIXON (PRESIDENT)
(248) 746-0882
Entity
Organization
Contact information
Practice address
24901 NORTHWESTERN HWY, SUITE 205, SOUTHFIELD, MI 48075-2203
(248) 357-2100
(248) 357-4272
Mailing address
24901 NORTHWESTERN HWY, SUITE 205, SOUTHFIELD, MI 48075-2203
(248) 357-2100
(248) 357-2380
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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