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Organization

MICHIGAN CONSULTING AND DIAGNOSTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JAMIE MARTIN (CARE COORDINATION DIRECTOR)
(248) 712-6030
Entity
Organization

Contact information

Practice address
390 ENTERPRISE CT STE 100, BLOOMFIELD HILLS, MI 48302-0320
(248) 712-6030
(248) 291-8753
Mailing address
390 ENTERPRISE CT STE 100, BLOOMFIELD HILLS, MI 48302-0320
(248) 712-6030
(248) 291-8753

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301072477
MI

Other

Enumeration date
02/12/2010
Last updated
12/08/2014
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