Organization
CHILDREN'S HOSPITAL OF MICHIGAN, DETROIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE M. MORTENSEN M.D (DIRECTOR, PEDIATRIC RESIDENCY)
(313) 966-0254
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN ST, CHILDREN'S HOSPITAL OF MICHIGAN, DETROIT, MI 48201-2119
(313) 745-5638
Mailing address
4500 CASS AVE, APARTMENT NO. 617, UNIVERSITY TOWERS, DETROIT, MI 48201-1288
(313) 715-0162
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
4301092198
MI
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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