Executive Diagnostic Group, PLLC
Executive Diagnostic Group, PLLC is a Multi-Specialty Clinic/Center in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2012.
- Licensed in
- MI
- In the registry since
- 2012
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1711 Monroe StDearborn, MI 48124-2914
Phone: (313) 359-9361
Fax: (313) 436-1767
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X · Licence 4301038699 (MI) |
|---|
Record details
| NPI number | 1881955953 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Luis Jorge — Owner · (313) 359-9361 |
| NPI enumerated | June 5, 2012 |
| Last updated in NPPES | September 18, 2014 |
| Mailing address | 1711 Monroe St, Dearborn, MI 48124-2914 |
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