Organization
EAST DETROIT PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETURAH JEFFRIES MD (PHYSICIAN/OWNER)
(313) 789-1800
Entity
Organization
Contact information
Practice address
6455 GRATIOT AVE STE B, DETROIT, MI 48207-1953
(313) 789-1800
Mailing address
6455 GRATIOT AVE STE B, DETROIT, MI 48207-1953
(313) 789-1800
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780028829
NPI TYPE 1
MD
Enumeration date
04/14/2026
Last updated
04/14/2026
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