Eastlake Medical Center
Eastlake Medical Center is a Geriatric Medicine (Family Medicine) Physician in Detroit, Michigan. Registered with an NPI since 2008.
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
646 Chene StDetroit, MI 48207-3979
Phone: (248) 747-3425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|---|
| Geriatric Medicine (Family Medicine) Physician | Taxonomy 207QG0300X |
Record details
| NPI number | 1821267832 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bianca Dooley — President Ceo · (248) 747-3425 |
| NPI enumerated | February 23, 2008 |
| Last updated in NPPES | February 23, 2008 |
| Mailing address | 17520 W 12 Mile Rd Ste 116, Southfield, MI 48076-1907 |
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-
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Thomas R. Palmer, MD
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Dr. Usha Pasupuleti, MD
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