Organization
METRO MEDICAL OF DEARBORN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS STANLEY (MANAGER)
(313) 563-7878
Entity
Organization
Contact information
Practice address
2220 N TELEGRAPH RD, DEARBORN, MI 48128-2213
(313) 563-7878
(313) 563-8443
Mailing address
2220 N TELEGRAPH RD, DEARBORN, MI 48128-2213
(313) 563-7878
(313) 563-8443
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
5101005442
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386970838
BCBS
MI
Enumeration date
03/27/2014
Last updated
06/25/2014
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