Organization
DRS SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY JACKSON CEO COO (CEO COO)
(248) 356-5534
Entity
Organization
Contact information
Practice address
298 S OLD WOODWARD AVE, BIRMINGHAM, MI 48009-6163
(248) 356-5534
(248) 352-3235
Mailing address
298 S OLD WOODWARD AVE, BIRMINGHAM, MI 48009-6163
(248) 356-5534
(248) 352-3235
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080F373970
BLUE CROSS
—
05
—
0D03640
—
MI
Enumeration date
08/21/2006
Last updated
05/17/2012
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