| Noel Upfall D.o. P.c. | |
|
1535 East State Fair Detroit MI 48203 | |
| (313) 891-2740 | |
| (313) 891-0775 |
| Full Name | Noel Upfall D.o. P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1535 East State Fair, Detroit, Michigan |
| Authorized Official Name and Position | Noel Upfall (PRESIDENT) |
| Authorized Official Contact | 3138912740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noel Upfall D.o. P.c. 1535 East State Fair Detroit MI 48203 Ph: (313) 891-2740 | Noel Upfall D.o. P.c. 1535 East State Fair Detroit MI 48203 Ph: (313) 891-2740 |
| NPI Number | 1528368651 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 10/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528368651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Michigan) | Primary |
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