Organization
DETROIT METRO MEDICAL
Active
Organization
DETROIT METRO MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE DAVIS (CEO)
(404) 492-2842
Entity
Organization
Contact information
Practice address
18673 LIVERNOIS AVE, DETROIT, MI 48221-2256
(404) 492-2842
Mailing address
18673 LIVERNOIS AVE, DETROIT, MI 48221-2256
(404) 492-2842
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
208D00000X
MI
Other
Enumeration date
08/26/2011
Last updated
08/27/2011
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