Organization
DETROIT MEDICAL CENTER
Active
Organization
DETROIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TEREASA CORCORAN (CHIEF ADMINISTRATIVE OFFICER)
(313) 745-2260
Entity
Organization
Contact information
Practice address
4100 JOHN R, DETROIT, MI 48202
(313) 966-2604
Mailing address
42069 WATERWHEEL RD, NORTHVILLE, MI 48168
(248) 349-3786
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
4301086482
MI
Other
Enumeration date
04/30/2007
Last updated
08/22/2020
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