Organization · Type 2 NPI

Virginia Park Medical Center Professional Corporation

Family Medicine Physician · Detroit, MI

NPI number 1790874006 Active

About NPI 1790874006

Virginia Park Medical Center Professional Corporation's National Provider Identifier is 1790874006, issued on Oct 12, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Detroit, MI. The record was last updated on Apr 3, 2009.