Organization
DETROIT MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN CARDONA M.D. (MEDICAL DIRECTOR)
(248) 569-8151
Entity
Organization
Contact information
Practice address
24261 GREENFIELD RD, SUITE B, SOUTHFIELD, MI 48075-3117
(248) 569-8151
(248) 569-8159
Mailing address
24261 GREENFIELD RD, SUITE B, SOUTHFIELD, MI 48075-3117
(248) 569-8151
(248) 569-8159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301086699
MI
207R00000X
Internal Medicine Physician
4301041657
MI
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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