Organization
PROFESSIONAL MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINE K KOLE-JAMES MD (PRESIDENT)
(313) 925-4540
Entity
Organization
Contact information
Practice address
3956 MOUNT ELLIOTT ST, DETROIT, MI 48207-1841
(313) 925-4540
(313) 925-0322
Mailing address
PO BOX 3160, DETROIT, MI 48203-0160
(313) 925-4540
(313) 925-0322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
09/11/2025
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