| Woodward | |
|
9053 Woodward Ave Detroit MI 48202-1822 | |
| (313) 309-6707 | |
| (313) 309-5060 |
| Full Name | Woodward |
|---|---|
| Speciality | Clinic/Center |
| Location | 9053 Woodward Ave, Detroit, Michigan |
| Authorized Official Name and Position | Gwendolyn Daniels (CEO) |
| Authorized Official Contact | 3133099350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodward 19830 James Couzens Fwy Detroit MI 48235-1910 Ph: (313) 309-9350 | Woodward 9053 Woodward Ave Detroit MI 48202-1822 Ph: (313) 309-6707 |
| NPI Number | 1336661156 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 12/12/2023 |
| Medicare PECOS PAC ID | 6002030095 |
|---|---|
| Medicare Enrollment ID | O20171005002189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336661156 | NPI | - | NPPES |
| 231117 | Medicaid | MI |
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