New Center Medical Pc
Family Medicine Physician in Detroit, MI(View on Map)
Legal Business Name
New Center Medical Pc
NPI Number
1316482870
NPI Type
Organization
Enumeration Date
12/19/2016
Specialties
(Taxonomies)Code
207Q00000X
207P00000X
208VP0000X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
3011 W GRAND BLVD
3011 W GRAND BLVD
City
Detroit
Detroit
State
MI
MI
Postal Code
48202-3096
48202-3096
Country
US
US
Telephone Number
(313) 986-1011
(313) 986-1011
Authorized Official
Name
Kashif Rasool
Title or Position
AUTHORIZED OFFICIAL
Telephone Number
(313) 986-1011
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/19/2016
Provider Address
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