Organization
DETROIT RECEIVING HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA LARKINS VP (VICE PRESIDENT)
(313) 578-2164
Entity
Organization
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 578-2164
Mailing address
PO BOX 641450, DETROIT, MI 48264-1450
(313) 578-2164
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
—
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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