Serge Philippe Bebko
Hospitalist in Detroit, MI. Individual provider (NPI-1).
NPI number1457746992
StatusActive
Last updated in NPPESJul 2, 2018
Details
- NPI
- 1457746992
- Entity type
- Individual (NPI-1)
- Name
- Serge Philippe Bebko
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2015
- Last updated
- Jul 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 4301108365 | MI | Yes |
| 207R00000X | Internal Medicine | 4301108365 | MI |
Practice location
2799 W Grand BlvdDetroit, MI 48202
Phone 313-916-2600
Mailing address
2799 W Grand BlvdDetroit, MI 48202-2608
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