Organization
GLOBAL HEALTH IPA
Active
Other names
Global Health IPA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY L. JACKSON-HAMMOND M.D. (SECRETARY)
(313) 831-8805
Entity
Organization
Contact information
Practice address
15266 GRAND RIVER AVE, DETROIT, MI 48227-2213
(313) 836-2400
Mailing address
3800 WOODWARD AVE, STE 418, DETROIT, MI 48201-2061
(313) 831-8805
(313) 832-8206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301046737
MI
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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