Organization
SIX MILE MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FITZGERALD HUDSON MD (PRESIDENT)
(313) 878-8454
Entity
Organization
Contact information
Practice address
7145 W MCNICHOLS RD, DETROIT, MI 48221-2664
(313) 878-8454
Mailing address
7145 W MCNICHOLS RD, DETROIT, MI 48221-2664
(313) 878-8454
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301091092
MI
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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