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1740793777
MEDICINA URBANA WEST VERNOR PLLC
DETROIT, MI
NPI
1740793777
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Entity Type
Organization
Authorized Contact
MARK RYAN BEARD
Member
313-281-1362
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: MI 5101017883)
Enumeration Date
2017-11-13
Last Update Date
2018-05-15
Business Address
MEDICINA URBANA WEST VERNOR PLLC
5700 W VERNOR HWY
DETROIT, MI 48209
Phone number: 313-586-3066
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Mailing Address
MEDICINA URBANA WEST VERNOR PLLC
5700 W VERNOR HWY
DETROIT, MI 48209-2158
Phone number: 313-586-7481
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