NPI 1063503910

Medical Services of Detroit

Organisation Preferred Provider Organization Southfield, MI

Practice location

Address: 24261 Greenfield Rd, Southfield, MI 48075-3117
Phone: (248) 569-9523
Fax: (248) 569-9529

Authorised official

Name: Starrlite C Dehn
Title: Office Manager
Phone: (248) 569-9523

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 4301036560 (MI)

Other Preferred Provider Organization providers in Michigan →

Registry record

NPI: 1063503910
Entity type: Organization
NPI issued: 27 Sep 2006
Record last updated: 11 Jul 2007

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.