Individual provider · Type 1 NPI

Michele Joann Roach

Community Health Clinic/Center · Detroit, MI

NPI number 1265647200 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

18311 Cedar Island Blvd
Brownstown, MI 48174-9585

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center Primary 261QC1500X3701-0106-0953-552 (MI)

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About NPI 1265647200

Michele Joann Roach's National Provider Identifier is 1265647200, issued on May 12, 2007. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.