Organization
GWENDOLYN WASHINGTON M.D. PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWENDOLYN WASHINGTON M.D. (PRESIDENT)
(248) 350-8895
Entity
Organization
Contact information
Practice address
29255 NORTHWESTERN HWY STE 105, SOUTHFIELD, MI 48034-5740
(248) 350-8895
(248) 350-8894
Mailing address
29255 NORTHWESTERN HWY STE 105, SOUTHFIELD, MI 48034-5740
(248) 350-8895
(248) 350-8894
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103295
—
MI
Enumeration date
01/04/2010
Last updated
01/04/2010
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