Organization
DETROIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOUREDIN ALEBOUYEH M.D. (RESIDENT)
(313) 974-6157
Entity
Organization
Contact information
Practice address
4201 SAINT ANTOINE ST STE 2E, DETROIT, MI 48201-2153
(313) 745-4832
Mailing address
4201 SAINT ANTOINE ST STE 2E, DETROIT, MI 48201-2153
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
4301090867
MI
282N00000X
General Acute Care Hospital
Primary
4301090867
MI
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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