Organization
MEDICAL SERVICES OF DETROIT PC
Active
Parent organization
MEDICAL SERVICES OF DETROIT PC
Other names
Greenfield Medical Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL SERVICES OF DETROIT PC
Authorized official
VIRGIL LUZ (FINANCIAL CONTROLLER)
(248) 569-9523
Entity
Organization
Contact information
Practice address
24261 GREENFIELD RD, SUITE A, SOUTHFIELD, MI 48075-3117
(248) 569-9523
(248) 569-9529
Mailing address
24261 GREENFIELD RD, SUITE A, SOUTHFIELD, MI 48075-3117
(248) 569-9523
(248) 569-9529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301086699
MI
207R00000X
Internal Medicine Physician
4301041657
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F33548
BCBSM PIN
MI
Enumeration date
07/11/2007
Last updated
07/11/2007
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