Organization
PROFESSIONAL PLAZA CLINIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA P MCBRIDE (CEO/PRESIDENT)
(313) 218-2709
Entity
Organization
Contact information
Practice address
2395 W GRAND BLVD, DETROIT, MI 48208-1210
(313) 831-2442
(313) 831-2444
Mailing address
2395 W GRAND BLVD, DETROIT, MI 48208-1210
(313) 831-2442
(313) 831-2444
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
MI
Other
Enumeration date
06/13/2005
Last updated
12/10/2025
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