Organization
EAST VILLAGE MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA LENORA ABRAMS-ALDERMAN (OFFICE MANAGER)
(313) 624-3000
Entity
Organization
Contact information
Practice address
5728 SCHAEFER RD, SUITE 100, DEARBORN, MI 48126-2298
(313) 624-3000
(313) 846-4087
Mailing address
5728 SCHAEFER RD, SUITE 200, DEARBORN, MI 48126-2298
(313) 624-2000
(313) 846-4514
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4157544
—
MI
Enumeration date
10/13/2006
Last updated
08/04/2015
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