Organization
MOTHER & CHILD MIHP OF MICHIGAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BLACK (DIRECTOR)
(810) 650-5902
Entity
Organization
Contact information
Practice address
1457 SOUTH OAKLAND, ST CLAIR, MI 48079
(810) 650-5902
Mailing address
1457 S OAKLAND, ST. CLAIR, MI 48079
(810) 650-5902
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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