Organization · NPI-2

City Of Detroit

Technician/Technologist, Optometric Technician · Detroit, MI

NPI number1821369620
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1821369620
Entity type
Organization (NPI-2)
Legal business name
City Of Detroit
Organization subpart
No
Enumeration date
Jan 25, 2012
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1202X Technician/Technologist, Optometric Technician––Yes
251K00000X Public Health or Welfare––

Other names

  • Detroit Health Department (Doing Business As)

Practice location

3245 E Jefferson Ave Ste 100
Detroit, MI 48207-4222

Phone 313-876-4000 · Fax 313-876-0177

Mailing address

1151 Taylor St
Detroit, MI 48202-1732

Phone 313-876-4717 · Fax 313-876-0177

Authorized official

Kanzoni Asabigi
Sr. Public Health Advisor
3138764000

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