NPI 1003083460

Middlebrook Medical Center

Organisation Nephrology Physician Detroit, MI

Practice location

Address: 20001 Livernois Ave Suite 500, Detroit, MI 48221-4122
Phone: (313) 864-3000
Fax: (313) 864-5423
Mailing address: 20176 Livernois Ave, Detroit, MI 48221-1346

Authorised official

Name: Labretta Quick
Title: Billing Supervisor
Phone: (313) 864-3000

Registered specialties

Nephrology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RN0300X

Other Internal Medicine providers in Michigan →

Registry record

NPI: 1003083460
Entity type: Organization
NPI issued: 14 May 2008
Record last updated: 2 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.