Organization
CANTON PROFESSIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL RAMIREZ (PRESIDENT)
(786) 444-4425
Entity
Organization
Contact information
Practice address
5900 N. LILLEY RD, SUITE 104, CANTON, MI 48187-3971
(313) 424-9424
Mailing address
5900 N. LILLEY RD, SUITE 104, CANTON, MI 48187-3971
(313) 424-9424
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2007
Last updated
12/13/2007
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