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Contact Information

MICHIGAN HEALTH CENTER PC
4808 W VERNOR
MICHIGAN HEALTH CENTER
DETROIT, MI48209
 Phone: 313-843-2500
 Fax: 248-356-3442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHIGAN HEALTH CENTER PC · (Female)

NPI Number 1154337749
Status Active
Credentials
Entity Individual
Enumeration date 08/01/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # AE059188
  • MI License # IN076343
  • MI Medicaid 4458172
  • MI Medicaid 4600718
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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