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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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