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1689151946
WOODWARD BOULEVARD MEDICAL BUILDING
DETROIT, MI
NPI
1689151946
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Entity Type
Organization
Authorized Contact
LATONYA WALLACE-HARDIMAN
Owner
313-715-7170
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2018-07-19
Last Update Date
2020-11-13
Business Address
WOODWARD BOULEVARD MEDICAL BUILDING
5830 CONNER ST
DETROIT, MI 48213-3458
Phone number: 313-924-1456
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Mailing Address
WOODWARD BOULEVARD MEDICAL BUILDING
5830 CONNER ST
DETROIT, MI 48213-3458
Phone number: 313-458-8804
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