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Vernor M

Family Medicine in Detroit, MI. Organization (NPI-2).

NPI number1164044624
StatusActive
Last updated in NPPESSep 28, 2020

Details

NPI
1164044624
Entity type
Organization (NPI-2)
Legal business name
Vernor M
Organization subpart
No
Enumeration date
May 7, 2020
Certification date
Sep 28, 2020
Last updated
Sep 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
261QU0200X Clinic/Center, Urgent Care––
261Q00000X Clinic/Center––

Other names

  • Vernor M, INC / Vernor Medical (Doing Business As)

Practice location

7649 W Vernor Hwy
Detroit, MI 48209-1513

Phone 313-841-0395

Mailing address

7649 W Vernor Hwy
Detroit, MI 48209-1513

Phone 313-841-0395

Authorized official

Brenda Allende
Manager
3138410395

Is something wrong?

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