DETROIT MEDICAL GROUP PLLC NPI 1255439956

NPI Information

DETROIT MEDICAL GROUP, PLLC is a multi-specialty clinic center in Detroit, MI. DETROIT MEDICAL GROUP, PLLC NPI is 1255439956. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14071 E SEVEN MILE RD
DETROIT, MI
ZIP 48205
Phone: (313) 371-2828
Fax: (313) 371-9120

The provider's authorized official is Nazmul Haque .
The authorized official title is Owner and has the following contact phone number (248) 203-1282.

The CLIA number assigned to this NPI record is 23D1022835 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/20/2006 and was last updated on 5/24/2021.

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

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