Organization
DETROIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SANBORN RD (REGISTERED DIETITIAN)
(313) 829-5498
Entity
Organization
Contact information
Practice address
4713 POND RUN, CANTON, MI 48188-2196
(313) 829-5498
Mailing address
4713 POND RUN, CANTON, MI 48188-2196
(313) 829-5498
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
86020003
MI
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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