Organization
SOUTHEASTERN MICHIGAN SERVICES, INC.
Active
Organization
SOUTHEASTERN MICHIGAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM HEALY MAHAR (CEO, PRES.,CHAIRMAN, SEC., TREAS.)
(248) 979-2001
Entity
Organization
Contact information
Practice address
17755 WINSTON ST, DETROIT, MI 48219-3078
(248) 979-2001
(313) 977-9750
Mailing address
17755 WINSTON ST, DETROIT, MI 48219-3078
(248) 979-2001
(313) 977-9750
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
05/23/2008
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