Organization
GREATER CARE HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKISHA JOHNSON (OFFICE MANAGER)
(248) 677-4061
Entity
Organization
Contact information
Practice address
21700 GREENFIELD RD, OAK PARK, MI 48237-2581
(248) 677-4061
Mailing address
21700 GREENFIELD RD, OAK PARK, MI 48237-2581
(248) 677-4061
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248-677-4061
PAIN
MI
Enumeration date
05/21/2019
Last updated
05/21/2019
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