Organization
JEFFERSON MEDICAL INDUSTRIAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARVIND S PATEL MD (OWNER)
(313) 259-9077
Entity
Organization
Contact information
Practice address
2141 E JEFFERSON AVE, DETROIT, MI 48207-4128
(313) 259-9077
(313) 259-3722
Mailing address
2141 E JEFFERSON AVE, DETROIT, MI 48207-4128
(313) 259-9077
(313) 259-3722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301034282
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108297872
BCBS
MI
Enumeration date
02/16/2010
Last updated
02/16/2010
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