Organization
MEDICINA SCARLETT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCARLETT IDEMA NP (FAMILY NURSE PRACTITIONER/OWNER)
(917) 885-5670
Entity
Organization
Contact information
Practice address
8631 W VERNOR HWY STE B1A, DETROIT, MI 48209-3420
(917) 885-5670
Mailing address
2932 ELMHURST AVE, ROYAL OAK, MI 48073-3099
(917) 885-5670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
06/23/2023
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