Dedicated Physicians Group Of Michigan PLLC
Non-Pharmacy Dispensing Site in Eastpointe, MI. Organization (NPI-2).
NPI number1730754656
StatusActive
Last updated in NPPESMay 24, 2021
Details
- NPI
- 1730754656
- Entity type
- Organization (NPI-2)
- Legal business name
- Dedicated Physicians Group Of Michigan PLLC
- Organization subpart
- Yes
- Enumeration date
- May 24, 2021
- Certification date
- May 24, 2021
- Last updated
- May 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Other names
- Dedicated Senior Medical Center Eastpointe (Doing Business As)
Practice location
21811 Kelly RdEastpointe, MI 48021-2793
Phone 586-649-3388
Mailing address
1395 Nw 167th StMiami Gardens, FL 33169-5710
Phone 305-628-6117
Authorized official
Mary Chen
Executive Officer
3056286117
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