Renaissance Medical Center Pllc

NPI #1205148616 in Detroit, Michigan

Provider Information

NPI Number: 1205148616
Entity Type: Organization
Organization Name: Renaissance Medical Center Pllc
Primary Specialty: Medical Genetics, Ph.D. Medical Genetics
Enumeration Date: Jul 14, 2010
Last Updated: Jul 14, 2010

Practice Location

Address: 430 MACK AVE
City: Detroit
State: Michigan
ZIP Code: 48201-2136
Phone: (313) 831-5913

Authorized Official

Name: DIMPLE TRIPATHI
Title: MEMBER
Phone: (313) 831-5913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Medical Genetics, Ph.D. Medical Genetics	170100000X	Primary

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