Organization
DMC BILLING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM RYAN (EXECUTIVE VICE PRESIDENT)
(810) 720-5715
Entity
Organization
Contact information
Practice address
23822 FORD RD, DEARBORN HEIGHTS, MI 48127
(810) 720-5715
Mailing address
PO BOX 673671, DETROIT, MI 48267-3671
(810) 720-5715
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H228210
BCBSM/BCN
MI
Enumeration date
12/17/2009
Last updated
12/17/2009
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