Organization
DIVINE MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER NWOKE MEDICAL DOCTOR (MEDICAL DIRECTOR)
(313) 393-3141
Entity
Organization
Contact information
Practice address
2141 E JEFFERSON AVE, SUITE 2, DETROIT, MI 48207-4128
(313) 393-3141
(313) 393-3144
Mailing address
2141 E JEFFERSON AVE, SUITE 2, DETROIT, MI 48207-4128
(313) 393-3141
(313) 393-3144
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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