Abbott Medical Group PLLC
Internal Medicine in Detroit, MI. Organization (NPI-2).
NPI number1659370724
StatusActive
Last updated in NPPESMay 20, 2009
Details
- NPI
- 1659370724
- Entity type
- Organization (NPI-2)
- Legal business name
- Abbott Medical Group PLLC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2005
- Last updated
- May 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 4301060096 | MI | Yes |
Practice location
19830 James Couzens FwySuite B
Detroit, MI 48235-1938
Phone 313-341-4800 · Fax 313-341-4848
Mailing address
Po Box 44047Detroit, MI 48244-0047
Phone 313-341-4800 · Fax 313-341-4848
Authorized official
Valerie Abbott
Owner
3133414800
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