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Organization

MEDICAL SERVICES OF DETROIT PC

Active
Parent organization
MEDICAL SERVICES OF DETROIT PC
Other names
greenfield medical
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDICAL SERVICES OF DETROIT PC
Authorized official
DR. CARMEN L CARDONA MD (PRESIDENT)
(248) 569-9523
Entity
Organization

Contact information

Practice address
24261 GREENFIELD RD # A, SOUTHFIELD, MI 48075-3117
(248) 569-9523
(248) 569-9529
Mailing address
24261 GREENFIELD RD # A, SOUTHFIELD, MI 48075-3117
(248) 569-9523
(248) 569-9529

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301086699
MI
207R00000X
Internal Medicine Physician
Primary
4301041657
MI

Other

Enumeration date
11/06/2006
Last updated
01/02/2008
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