NPI 1154643112

Med Source Services INC

Organisation Independent Medical Examiner Physician Southfield, MI

Practice location

Address: 24901 Northwestern Hwy Suite 205, Southfield, MI 48075-2203
Phone: (248) 357-2100
Fax: (248) 357-4272

Authorised official

Name: Clarence O Dixon
Title: President
Phone: (248) 746-0882

Registered specialties

Independent Medical Examiner Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202C00000X

Other Independent Medical Examiner providers in Michigan →

Registry record

NPI: 1154643112
Entity type: Organization
NPI issued: 18 Feb 2010
Record last updated: 18 Feb 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.