MICHIGAN MEDICAL MALL

DETROIT, MI
NPI1194133686
Entity TypeOrganization
Authorized ContactSCHARA DAVIS
Owner/Incorporator
256-262-9310
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2014-07-28
Last Update Date2014-07-28
Business Address
MICHIGAN MEDICAL MALL
17350 LIVERNOIS AVE
DETROIT, MI 48221-2759
Phone number: 256-262-9310
Mailing Address
MICHIGAN MEDICAL MALL
17350 LIVERNOIS AVE
DETROIT, MI 48221-2759
Phone number:
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