Organization
SOUTHGATE MEDICAL CLINIC PC
Active
Organization
SOUTHGATE MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED M DANISH MD (PRESIDENT)
(734) 282-7911
Entity
Organization
Contact information
Practice address
13819 TRENTON RD, SOUTHGATE, MI 48195-1830
(734) 282-7911
Mailing address
13819 TRENTON RD, SOUTHGATE, MI 48195-1830
(734) 282-7911
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
07/01/2010
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