NPI 1982280038
Dedicated Physicians Group of Michigan PLLC
Practice location
- Address
- 21816 W 11 Mile Rd, Southfield, MI 48076-3724
- Phone
- (248) 375-4040
- 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
- 1982280038
- Entity type
- Organization
- NPI issued
- 19 Mar 2021
- Record last updated
- 24 May 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.