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Individual

DR. ENOS MARCUS HUMBLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
23405 PLYMOUTH RD, REDFORD, MI 48239-1433
(313) 535-7880
(313) 535-8388
Mailing address
23405 PLYMOUTH RD, REDFORD, MI 48239-1433
(313) 535-7880
(313) 535-8388

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101011838
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114506064
MI
05
114537712
MI
01
1891935656
GROUP NPI FOR REDFORD URGENT CARE MEDICAL CLINIC
MI
01
5101011834
STATE OF MICHIGAN LICENSE
MI
01
EH011838
BCBS
MI
01
P31038F
BLUE CARE NETWORK
MI
Enumeration date
05/20/2006
Last updated
09/11/2009
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