Organization
INSTITUTE FOR POPULATION HEALTH INC.
Active
Other names
WOODWARD
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN DANIELS (CEO)
(313) 309-9350
Entity
Organization
Contact information
Practice address
9053 WOODWARD AVE, DETROIT, MI 48202-1822
(313) 309-6707
(313) 309-5060
Mailing address
19830 JAMES COUZENS FWY, DETROIT, MI 48235-1910
(313) 309-9350
(313) 341-0198
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231117
—
MI
Enumeration date
07/13/2017
Last updated
12/12/2023
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