GRACE UNIVERSITY MEDICAL GROUP

DETROIT, MI
NPI1447215538
Entity TypeOrganization
Authorized ContactKENNETH BERGSMAN
Manager
313-966-4946
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207RH0003X Internal Medicine, Hematology & Oncology
(Licence: MI  4301028293)
Enumeration Date2006-04-20
Last Update Date2007-09-19
Business Address
GRACE UNIVERSITY MEDICAL GROUP
6071 W OUTER DR DEPT OF MEDICINE 4TH FLOOR
DETROIT, MI 48235-2624
Phone number: 313-966-4946
Mailing Address
GRACE UNIVERSITY MEDICAL GROUP
PO BOX 321061
DETROIT, MI 48232-1061
Phone number: 248-543-8070