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Specialty details in registry · Eastpointe, MI

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At a glance

18121 E 8 Mile Rd, Eastpointe, MI 48021-3245

NPPES record updated Sep 5, 2023. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

18121 E 8 Mile Rd
Eastpointe, MI 48021-3245
Professional details: NPI, taxonomy & registry record
NPI1306622469
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
172V00000X
Enumeration date
Sep 5, 2023
Record updated
Sep 5, 2023
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

172V00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

18121 E 8 Mile Rd
Eastpointe, MI 48021-3245
Phone
(313) 303-8244
Mailing address
18121 E 8 MILE RD

EASTPOINTE, MI 480213245
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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