NPI 1205148616

Renaissance Medical Center PLLC

Organisation Ph.D. Medical Genetics Detroit, MI

Practice location

Address: 430 Mack Ave, Detroit, MI 48201-2136
Phone: (313) 831-5913
Fax: (313) 831-5991

Authorised official

Name: Dimple Tripathi
Title: Member
Phone: (313) 831-5913

Registered specialties

Ph.D. Medical Genetics Primary

Other Service Providers Taxonomy 170100000X

Other Medical Genetics, Ph.D. Medical Genetics providers in Michigan →

Registry record

NPI: 1205148616
Entity type: Organization
NPI issued: 14 Jul 2010
Record last updated: 14 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.