PROFESSIONAL MEDICAL CENTER PC NPI 1619985058

NPI Information

PROFESSIONAL MEDICAL CENTER PC 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. PROFESSIONAL MEDICAL CENTER PC NPI is 1619985058. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3956 MOUNT ELLIOTT ST
DETROIT, MI
ZIP 48207-841
Phone: (313) 925-4540
Fax: (313) 925-0322

The provider's authorized official is Augustine K Kole-james .
The authorized official title is President and has the following contact phone number (313) 925-4540.

The CLIA number assigned to this NPI record is 23D0958358 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 8/22/2020.

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:

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