Organization
CITY OF DETROIT
Active
Other names
Detroit Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
KANZONI ASABIGI (GENERAL MANAGER)
(313) 867-4307
Entity
Organization
Contact information
Practice address
3245 E JEFFERSON AVE, DETROIT, MI 48207-4222
(313) 876-4307
Mailing address
1151 TAYLOR ST, 111 C, DETROIT, MI 48202-1732
(313) 876-4307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
445991
—
MI
Enumeration date
10/18/2010
Last updated
07/21/2022
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