Organization
ELMWOOD PARK MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE EVANS DO (OWNER)
(313) 399-5083
Entity
Organization
Contact information
Practice address
2950 E JEFFERSON AVE, DETROIT, MI 48207-4208
(313) 399-5083
Mailing address
2950 E JEFFERSON AVE, DETROIT, MI 48207-4208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007577
MI
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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