Organization
USCG CLINIC SECTOR DETROIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH P SIMON M.D. (CHIEF, HEALTH SERVICES DIVISION)
(586) 307-5017
Entity
Organization
Contact information
Practice address
43401 N. JEFFERSON, BLDG 825, SELFRIDGE ANGB, MI 48045
(586) 307-5017
(586) 307-5010
Mailing address
43401 N. JEFFERSON, BLDG 825, SELFRIDGE ANGB, MI 48045
(586) 307-5017
(586) 307-5010
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
4301062131
MI
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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