DETROIT MEDICAL CENTER NPI 1770869257

NPI Information

NPI: 1770869257
Provider Name: DETROIT MEDICAL CENTER
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
4201 SAINT ANTOINE ST STE 6A
DRH UNIVERSITY HEALTH CENTER
DETROIT, MI
ZIP 48201
Phone: (313) 745-4230
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DETROIT MEDICAL CENTER is a surgical physician assistant in Detroit, MI. DETROIT MEDICAL CENTER NPI is 1770869257. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4201 SAINT ANTOINE ST STE 6A
DRH UNIVERSITY HEALTH CENTER
DETROIT, MI
ZIP 48201-153
Phone: (313) 745-4230

The provider's authorized official is Cheryl Kelley .
The authorized official title is Manager, Credentialing And Enrollme and has the following contact phone number (313) 993-6080.

The enumeration date for this NPI number is 10/27/2011 and was last updated on 10/27/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	5601006086	MICHIGAN	Yes

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: 4/28/2024

NPI Synchronization or Removal

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