ASSOCIATED GENERAL PRACTICE NETWORK PLLC NPI 1144496860

NPI Information

ASSOCIATED GENERAL PRACTICE NETWORK PLLC is a clinic center in Detroit, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ASSOCIATED GENERAL PRACTICE NETWORK PLLC NPI is 1144496860. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11803 GRAND RIVER AVE
DETROIT, MI
ZIP 48204-810
Phone: (313) 491-5544
Fax: (248) 485-6631

The provider's authorized official is Indira Desikachar .
The authorized official title is Member and has the following contact phone number (248) 231-8542.

The enumeration date for this NPI number is 5/2/2008 and was last updated on 10/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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