Organization
GREATER HEALTH CENTER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA BAKER (ADMINISTRATOR)
(248) 667-8977
Entity
Organization
Contact information
Practice address
17515 W 9 MILE RD STE 935, SOUTHFIELD, MI 48075-4406
(248) 667-8977
Mailing address
17515 W 9 MILE RD, SOUTHFIELD, MI 48075-4403
(248) 667-8977
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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