Organization
DETROIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE T BASSETT (PROGRAM MANAGER)
(313) 745-4123
Entity
Organization
Contact information
Practice address
4160 JOHN R ST, SUITE 1017, DETROIT, MI 48201-2020
(313) 745-4123
(313) 745-8222
Mailing address
4160 JOHN R ST, SUITE 1017, DETROIT, MI 48201-2020
(313) 745-4123
(313) 745-8222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6315024455
MI
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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