Organization
DETROIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL KELLEY (MANAGER, CREDENTIALING AND ENROLLME)
(313) 993-6080
Entity
Organization
Contact information
Practice address
4201 SAINT ANTOINE ST STE 6A, DRH UNIVERSITY HEALTH CENTER, DETROIT, MI 48201-2153
(313) 745-4230
Mailing address
24131 PRINCETON ST, DEARBORN, MI 48124-3264
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601006086
MI
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up