NPI 1366028730
Dedicated Physicians Group of Michigan PLLC
Practice location
- Address
- 13210 E Jefferson Ave, Detroit, MI 48215-2704
- Phone
- (313) 335-3444
- Mailing address
- 1395 NW 167th St, Miami Gardens, FL 33169-5710
Authorised official
- Name
- Mary Chen
- Title
- Executive Officer
- Phone
- (305) 628-6117
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1366028730
- Entity type
- Organization
- NPI issued
- 24 Mar 2021
- Record last updated
- 24 Mar 2021
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.