Organization · Type 2 NPI

Dedicated Physicians Group of Michigan PLLC

Non-Pharmacy Dispensing Site · Detroit, MI

NPI number 1366028730 Active

Practice location

13210 E Jefferson Ave
Detroit, MI 48215-2704

Call (313) 335-3444 Map

Mailing address

1395 NW 167th St
Miami Gardens, FL 33169-5710

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

7 other providers at this address

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NPI record

NPI: 1366028730
Entity type: Organization (Type 2)
Issued: Mar 24, 2021
Last updated: Mar 24, 2021
Status: Active
Subpart: Yes of Dedicated Physicians Group of Michigan PLLC

Other names

Dedicated Senior Medical Center Detroit East · doing business as

Authorized official

Mary Chen
Executive Officer
(305) 628-6117

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366028730

Dedicated Physicians Group of Michigan PLLC's National Provider Identifier is 1366028730, issued on Mar 24, 2021. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Detroit, MI. The record was last updated on Mar 24, 2021.