Organization
CITY OF DETROIT
Active
Other names
Department of Health and Wellness Promotion, Detroit Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONEIGH KHALDUN MD (MEDICAL DIRECTOR)
(313) 876-0000
Entity
Organization
Contact information
Practice address
3245 E JEFFERSON AVE STE 100, DETROIT, MI 48207-4222
(313) 876-4710
(313) 876-0177
Mailing address
1151 TAYLOR ST, ROOM 349C, DETROIT, MI 48202-1732
(313) 876-4710
(313) 876-0177
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4456991
—
MI
Enumeration date
12/11/2006
Last updated
07/21/2022
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