Organization
MEDICAL MISSIONARY MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVERETTE B. HAMBRIC M.D. (PRESIDENT)
(313) 570-3699
Entity
Organization
Contact information
Practice address
1002 SEMINOLE ST, DETROIT, MI 48214-2707
(313) 570-3699
(313) 331-2669
Mailing address
1002 SEMINOLE ST, DETROIT, MI 48214-2707
(313) 570-3699
(313) 331-2669
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4301057900
MI
261QP2300X
Primary Care Clinic/Center
4301057900
MI
Other
Enumeration date
10/25/2010
Last updated
06/07/2011
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