| Detroit Medical Center | |
|
4201 St Antoine Detroit MI 48201 | |
| (313) 745-3862 | |
| Not Available |
| Full Name | Detroit Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 4201 St Antoine, Detroit, Michigan |
| Authorized Official Name and Position | Wilhelmine Wiese (M.D) |
| Authorized Official Contact | 3137453862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Medical Center 4201st Antoine Detroit MI 48201 Ph: () - | Detroit Medical Center 4201 St Antoine Detroit MI 48201 Ph: (313) 745-3862 |
| NPI Number | 1679732085 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679732085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L1127555 (Michigan) | Primary |
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