Organization
WESLEY ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR LLANOS (PRESIDENT)
(313) 899-3211
Entity
Organization
Contact information
Practice address
5407 MICHIGAN AVE, DETROIT, MI 48210-3033
(313) 899-3211
(313) 899-3212
Mailing address
5407 MICHIGAN AVE, DETROIT, MI 48210-3033
(313) 899-3211
(313) 899-3212
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2007
Last updated
02/25/2008
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