Organization · Type 2 NPI

Detroit Medical Center

Surgical Physician Assistant · Detroit, MI

NPI number 1770869257 Active

Practice location

4201 Saint Antoine St Ste 6A, Drh University Health Center
Detroit, MI 48201-2153

Call (313) 745-4230 Map

Mailing address

24131 Princeton St
Dearborn, MI 48124-3264

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601006086 (MI)

Surgical Physician Assistant: Definition to come...

75 other providers at this address

About NPI 1770869257

Detroit Medical Center's National Provider Identifier is 1770869257, issued on Oct 27, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Detroit, MI. The record was last updated on Oct 27, 2011.