Organization
BRIGHTMOOR MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX PICKENS III (DIRECTOR OF DEVELOPMENT)
(313) 534-6611
Entity
Organization
Contact information
Practice address
20510 FENKELL ROAD, DETROIT, MI 48223-1613
(313) 534-6611
(313) 534-2525
Mailing address
20510 FENKELL ST, PO BOX 23035, DETROIT, MI 48223-1613
(313) 534-6611
(313) 534-2525
Taxonomy
Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
4301038348
MI
Other
Enumeration date
04/26/2007
Last updated
09/07/2011
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