Green Cross Medical Center PC
Family Medicine in Detroit, MI. Organization (NPI-2).
NPI number1982194338
StatusActive
Last updated in NPPESMay 11, 2018
Details
- NPI
- 1982194338
- Entity type
- Organization (NPI-2)
- Legal business name
- Green Cross Medical Center PC
- Organization subpart
- No
- Enumeration date
- May 11, 2018
- Last updated
- May 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4301033614 | MI | Yes |
Practice location
18041 Greenfield RdDetroit, MI 48235-3120
Phone 313-837-0072 · Fax 313-837-0003
Mailing address
18041 Greenfield RdDetroit, MI 48235-3120
Phone 313-837-0072 · Fax 313-837-0003
Authorized official
Emilia Santos Quizon
Rn
2485638471
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