Organization
MATERNAL INFANT HEALTH PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE COCHRAN (OWNER)
(313) 442-6027
Entity
Organization
Contact information
Practice address
1897 STANLEY BLVD, BIRMINGHAM, MI 48009-4149
(313) 442-6027
Mailing address
1897 STANLEY BLVD, BIRMINGHAM, MI 48009-4149
(313) 442-6027
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
06/16/2018
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