Organization
UNITED MEDICAL DEVELOPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANZOUR JALLOUQA (MEMBER)
(312) 972-8535
Entity
Organization
Contact information
Practice address
29155 NORTHWESTERN HWY STE 366, SOUTHFIELD, MI 48034-1011
(312) 972-8535
Mailing address
29155 NORTHWESTERN HWY STE 366, SOUTHFIELD, MI 48034-1011
(312) 972-8535
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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