Organization
DETROIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA ECKERT (MARKET OPERATIONS MANAGER)
(947) 235-3548
Entity
Organization
Contact information
Practice address
311 MACK AVE STE 63100, DETROIT, MI 48201-2466
(313) 536-1525
Mailing address
311 MACK AVE STE 63100, DETROIT, MI 48201-2466
(313) 536-1525
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/25/2023
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