Organization
GROSSE POINTE COMPREHENSIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL FOWLER MD (MEDICAL DOCTOR)
(313) 881-7010
Entity
Organization
Contact information
Practice address
18348 MACK AVE, GROSSE POINTE FARMS, MI 48236-3219
(313) 881-7010
Mailing address
9600 DEXTER AVE, DETROIT, MI 48206-1816
(313) 881-7010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301045243
MI
Other
Enumeration date
03/17/2010
Last updated
12/20/2010
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