Gretchen'S Place
Clinic/Center, Multi-Specialty in Belleville, MI. Organization (NPI-2).
NPI number1013537802
StatusActive
Last updated in NPPESAug 12, 2020
Details
- NPI
- 1013537802
- Entity type
- Organization (NPI-2)
- Legal business name
- Gretchen'S Place
- Organization subpart
- No
- Enumeration date
- Apr 21, 2020
- Certification date
- Aug 12, 2020
- Last updated
- Aug 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Practice location
25 Owen StBelleville, MI 48111-2921
Phone 734-699-5400
Mailing address
46036 Michigan Ave # 318Canton, MI 48188-2304
Authorized official
Deodge Hill
Owner
7346995400
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