Organization
CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERMAN GRAY M.D. (PRESIDENT)
(313) 745-8737
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 578-2564
(313) 578-3964
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 578-2564
(313) 578-3964
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2788624
—
MI
Enumeration date
01/29/2008
Last updated
01/29/2008
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