| Southeastern Michigan Services, Inc. | |
|
17755 Winston St Detroit MI 48219-3078 | |
| (248) 979-2001 | |
| (313) 977-9750 |
| Full Name | Southeastern Michigan Services, Inc. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 17755 Winston St, Detroit, Michigan |
| Authorized Official Name and Position | Adam Healy Mahar (CEO, PRES.,CHAIRMAN, SEC., TREAS.) |
| Authorized Official Contact | 2489792001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Michigan Services, Inc. 17755 Winston St Detroit MI 48219-3078 Ph: (248) 979-2001 | Southeastern Michigan Services, Inc. 17755 Winston St Detroit MI 48219-3078 Ph: (248) 979-2001 |
| NPI Number | 1558442830 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558442830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
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