Sports Medicine Center Of Metro Detroit Pc
Specialist in Troy, MI(View on Map)
Legal Business Name
Sports Medicine Center Of Metro Detroit Pc
NPI Number
1912023458
NPI Type
Organization
Enumeration Date
03/22/2007
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
JC039731
Contact
Information
Purpose
Mailing
Location
Address
5600 CROOKS RD
5600 CROOKS RD
City
Troy
Troy
State
MI
MI
Postal Code
48098-2811
48098-2811
Country
US
US
Telephone Number
(248) 813-0002
(248) 813-0002
Authorized Official
Name
Miss Jackie Tremonti
Title or Position
BILLER
Telephone Number
(248) 813-0002
Identifiers
Identifier
1741033
Identifier State
MI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/18/2014
Provider Address
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