WOODWARD BOULEVARD MEDICAL BUILDING

DETROIT, MI
NPI1689151946
Entity TypeOrganization
Authorized ContactLATONYA WALLACE-HARDIMAN
Owner
313-715-7170
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2018-07-19
Last Update Date2020-11-13
Business Address
WOODWARD BOULEVARD MEDICAL BUILDING
5830 CONNER ST
DETROIT, MI 48213-3458
Phone number: 313-924-1456
Mailing Address
WOODWARD BOULEVARD MEDICAL BUILDING
5830 CONNER ST
DETROIT, MI 48213-3458
Phone number: 313-458-8804
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