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ALSAN MEDICAL CLINIC P.C. NPI 1235352345


NPI Information

NPI: 1235352345
Provider Name: ALSAN MEDICAL CLINIC P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0711380

Address:
3130 GRATIOT AVE
DETROIT, MI
ZIP 48207
Phone: (313) 579-1860
Get Directions

ALSAN MEDICAL CLINIC P.C. is a family medicine in Detroit, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ALSAN MEDICAL CLINIC P.C. NPI is 1235352345. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3130 GRATIOT AVE
DETROIT, MI
ZIP 48207-283
Phone: (313) 579-1860
Fax: (313) 579-0017

The provider's authorized official is Jacqueline Graham .
The authorized official title is Office Manager and has the following contact phone number (313) 579-1860.

The CLIA number assigned to this NPI record is 23D0711380 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/10/2007 and was last updated on 5/26/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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