Vandyke Medical Clinic Management Corp

NPI #1174632087 in Detroit, Michigan

Provider Information

NPI Number
1174632087
Entity Type
Organization
Organization Name
Vandyke Medical Clinic Management Corp
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Aug 30, 2006
Last Updated
Dec 1, 2015

Practice Location

Address
19431 VAN DYKE ST
ZIP Code
48234-3323
Phone
(313) 893-2010

Authorized Official

Name
DR. ERNEST A MULLEN, M.D.
Title
PRESIDENT
Phone
(313) 893-2010

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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