Virginia Park Medical Center Professional Corporation
Virginia Park Medical Center Professional Corporation is a Family Medicine Physician in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
Practice location Address checks out
8500 14th StDetroit, MI 48206-2425
Phone: (313) 894-3950
Fax: (313) 894-1729
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence OH27778 (MI) |
|---|
Record details
| NPI number | 1790874006 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Claud Young — President · (313) 897-3950 |
| NPI enumerated | October 12, 2006 |
| Last updated in NPPES | April 3, 2009 |
| Mailing address | 8500 14th St, Detroit, MI 48206-2425 |
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