Organization
DETROIT MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX-ABBEY AKINWUMI MD (PRESIDENT)
(313) 491-5400
Entity
Organization
Contact information
Practice address
4059 W DAVISON, DETROIT, MI 48238-3262
(313) 491-5400
(313) 491-8123
Mailing address
4059 W . DAVISON, DETROIT, MI 48238
(313) 491-5400
(313) 491-8123
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301071164
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4488126
—
MI
Enumeration date
07/28/2006
Last updated
08/22/2020
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