Organization · Type 2 NPI

Divine Medical Center P C

General Practice Physician · Detroit, MI

NPI number 1215284583 Active

Practice location

901 W Grand Blvd
Detroit, MI 48208-2353

Call (313) 393-3141 Map

Fax (313) 393-3144

Mailing address

PO Box 806464
St. Clair Shores, MI 48080-6464

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

7 other providers at this address

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About NPI 1215284583

Divine Medical Center P C's National Provider Identifier is 1215284583, issued on Aug 6, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Detroit, MI. The record was last updated on Aug 6, 2012.