Organization
PHYLINX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY A COLEMAN (PRESIDENT)
(866) 309-3332
Entity
Organization
Contact information
Practice address
3200 GREENFIELD RD, SUITE 250, DEARBORN, MI 48120-1802
(866) 309-3332
(855) 872-6151
Mailing address
3200 GREENFIELD RD, SUITE 250, DEARBORN, MI 48120-1802
(866) 309-3332
(855) 872-6151
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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