Organization
GREEN CROSS MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIA SANTOS QUIZON (RN)
(248) 563-8471
Entity
Organization
Contact information
Practice address
18041 GREENFIELD RD, DETROIT, MI 48235-3120
(313) 837-0072
(313) 837-0003
Mailing address
18041 GREENFIELD RD, DETROIT, MI 48235-3120
(313) 837-0072
(313) 837-0003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301033614
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7039547
—
MI
Enumeration date
05/11/2018
Last updated
05/11/2018
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