Phoenix Health Care

NPI #1366796567 in River Rouge, Michigan

Provider Information

NPI Number: 1366796567
Entity Type: Organization
Organization Name: Phoenix Health Care
Primary Specialty: Family Medicine
Enumeration Date: Nov 9, 2012
Last Updated: Nov 9, 2012

Practice Location

Address: 10475 W JEFFERSON AVE
City: River Rouge
State: Michigan
ZIP Code: 48218-1331
Phone: (313) 342-8421

Authorized Official

Name: DR. GERALD HUDSON, MD
Title: OWNER
Phone: (313) 342-8421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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