Organization
DETROIT PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE ELKINS (MEDICAID COORDINATOR)
(313) 873-4283
Entity
Organization
Contact information
Practice address
7313 2ND AVE, FISHER BUILDING, 11TH FLOOR, DETROIT, MI 48202-2710
(313) 873-4283
Mailing address
7313 2ND AVE, FISHER BUILDING, 11TH FLOOR, DETROIT, MI 48202-2710
(313) 873-4283
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3454357
—
MI
Enumeration date
08/25/2006
Last updated
08/22/2020
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