Individual
KARL PATRICK SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17133 MENDOTA ST, DETROIT, MI 48221-2306
(313) 283-8494
Mailing address
17133 MENDOTA ST, DETROIT, MI 48221-2306
(313) 283-8494
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
AS820315246
MI
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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