Organization
DETROIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES G TYBURSKI M.D. (PROGRAM DIRECTOR)
(313) 745-3487
Entity
Organization
Contact information
Practice address
1431 WASHINGTON BLVD, APT 1814, DETROIT, MI 48226-1732
(313) 525-2072
Mailing address
1431 WASHINGTON BLVD, APT 1814, DETROIT, MI 48226-1732
(313) 525-2072
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/09/2009
Last updated
03/07/2023
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