Organization
CRITICAL CARE MEDICINE ASSOCIATES PC
Active
Organization
CRITICAL CARE MEDICINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY A COLEMAN (CEO, PHYSICIANLINX LLC)
(313) 563-3332
Entity
Organization
Contact information
Practice address
18181 OAKWOOD BLVD, SUITE 208, DEARBORN, MI 48124-5032
(313) 271-5565
(313) 271-1053
Mailing address
3200 GREENFIELD RD, SUITE 250, DEARBORN, MI 48120-1802
(313) 563-3332
(313) 563-3342
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
10/17/2007
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