Organization
DEAN CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER STANLEY HARRIS D.O. (PRESIDENT)
(313) 366-9502
Entity
Organization
Contact information
Practice address
4140 E 8 MILE RD, DETROIT, MI 48234-1014
(313) 366-9502
(313) 366-9503
Mailing address
4140 E 8 MILE RD, DETROIT, MI 48234-1014
(313) 366-9502
(313) 366-9503
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1371362
—
MI
Enumeration date
01/04/2007
Last updated
08/22/2020
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