Gateway Detroiteast
Gateway Detroiteast is a Health Maintenance Organization in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2014.
- Licensed in
- MI
- In the registry since
- 2014
Practice location Address checks out
6309 Mack AveDetroit, MI 48207-2302
Phone: (313) 921-4700
Fax: (313) 921-1660
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence 6803084997 (MI) |
|---|
Record details
| NPI number | 1750790234 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elizabeth Cichon — Clinical Diretor · (313) 921-4700 |
| NPI enumerated | August 8, 2014 |
| Last updated in NPPES | August 8, 2014 |
| Mailing address | 6309 Mack Ave, Detroit, MI 48207-2302 |
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