Organization
GLOBAL HEALTH IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY L JACKSON HAMMOND M.D. (PRESIDENT)
(313) 831-8805
Entity
Organization
Contact information
Practice address
4727 SAINT ANTOINE ST, STE 202, DETROIT, MI 48201-1461
(313) 831-8805
Mailing address
4727 SAINT ANTOINE ST, STE 202, DETROIT, MI 48201-1461
(313) 831-8805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1912143986
MI
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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