Organization
WAYNE COUNTY PATIENT CARE MANAGEMENT SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. GRUNDY (DIRECTOR)
(313) 833-3430
Entity
Organization
Contact information
Practice address
640 TEMPLE ST, SUITE 370, DETROIT, MI 48201-2599
(313) 833-3430
Mailing address
640 TEMPLE ST, SUITE 370, DETROIT, MI 48201-2599
(313) 833-3430
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
4527725
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4527725
—
MI
Enumeration date
01/16/2009
Last updated
01/16/2009
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