Organization
CITY OF DETROIT
Active
Other names
Detroit Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
KANZONI ASABIGI (GENERAL MANAGER)
(313) 876-4000
Entity
Organization
Contact information
Practice address
3245 E JEFFERSON AVE # 100, DETROIT, MI 48207-4222
(313) 876-4000
(313) 876-0475
Mailing address
3245 E. JEFFERSON, DETROIT, MI 48207-4222
(313) 876-4000
(313) 876-0475
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
237700000X
Hearing Instrument Specialist
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
445991
—
MI
Enumeration date
10/14/2010
Last updated
06/08/2017
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