Organization
LINCOLN PARK HEALTH MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE GONZALEZ GARCIA MD (MEDICAL DIRECTOR)
(313) 989-0124
Entity
Organization
Contact information
Practice address
1158 FORT ST, LINCOLN PARK, MI 48146-1840
(313) 989-0124
Mailing address
1158 FORT ST, LINCOLN PARK, MI 48146-1840
(313) 989-0124
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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