Organization
ACUPUNCTURE TREATMENT CONCEPTS 11
Active
Organization
ACUPUNCTURE TREATMENT CONCEPTS 11
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTRILLA MARIE ROSS-CHATMAN RN (EXECUTIVE DIRECTOR)
(313) 871-9940
Entity
Organization
Contact information
Practice address
514 ALGER ST, DETROIT, MI 48202-2106
(313) 871-9940
Mailing address
514 ALGER ST, DETROIT, MI 48202-2106
(313) 871-9940
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
822348
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538285861
NPI
MI
01
—
1891701884
NPI
MI
Enumeration date
08/09/2007
Last updated
08/09/2007
Update your record
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