Organization
DEDICATED PHYSICIANS GROUP OF MICHIGAN PLLC
Active
Parent organization
DEDICATED SENIOR MEDICAL CENTER
Other names
Dedicated Senior Medical Center Southfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEDICATED SENIOR MEDICAL CENTER
Authorized official
MARY CHEN (EXECUTIVE OFFICER)
(305) 628-6117
Entity
Organization
Contact information
Practice address
21816 W 11 MILE RD, SOUTHFIELD, MI 48076-3724
(248) 375-4040
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
05/24/2021
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