| Eastbrooke Medical Center | |
|
15640 E Warren Ave Detroit MI 48224-3148 | |
| (313) 642-4590 | |
| (313) 642-4592 |
| Full Name | Eastbrooke Medical Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15640 E Warren Ave, Detroit, Michigan |
| Authorized Official Name and Position | Bianca Dooley (OWNER) |
| Authorized Official Contact | 7734584711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastbrooke Medical Center 15640 E Warren Ave Detroit MI 48224-3148 Ph: (313) 642-4590 | Eastbrooke Medical Center 15640 E Warren Ave Detroit MI 48224-3148 Ph: (313) 642-4590 |
| NPI Number | 1417295825 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 01/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417295825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6802058864 (Michigan) | Primary |
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