| Professional Medical Center Pc | |
|
3956 Mount Elliott St Detroit MI 48207-1841 | |
| (313) 925-4540 | |
| (313) 925-0322 |
| Full Name | Professional Medical Center Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 3956 Mount Elliott St, Detroit, Michigan |
| Authorized Official Name and Position | Augustine K Kole-james (PRESIDENT) |
| Authorized Official Contact | 3139254540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Medical Center Pc Po Box 3160 Detroit MI 48203-0160 Ph: (313) 925-4540 | Professional Medical Center Pc 3956 Mount Elliott St Detroit MI 48207-1841 Ph: (313) 925-4540 |
| NPI Number | 1619985058 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619985058 | NPI | - | NPPES |
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