Woodward Boulevard Medical Building
Woodward Boulevard Medical Building is a Clinic/Center in Detroit, Michigan. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
5830 Conner StDetroit, MI 48213-3458
Phone: (313) 924-1456
Fax: (313) 636-2290
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1689151946 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Latonya Wallace-Hardiman — Owner · (313) 715-7170 |
| NPI enumerated | July 19, 2018 |
| Last updated in NPPES | November 13, 2020 |
| Certification date | November 13, 2020 |
| Mailing address | 5830 Conner St, Detroit, MI 48213-3458 |
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