Organization
CHILDREN'S HOSPITAL OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOIRA MICHELLE LANCELOT M.D. (FELLOW)
(313) 745-5515
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5515
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5515
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4301093680
MI
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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