| Organization Name: | UNITED MEDICAL CLINIC |
| NPI Number: | 1285064881 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES B BURDETTE (OWNER) |
| Mailing Address: | 21800 W 7 Mile Rd Detroit |
| State: | MI US |
| Postal Code: | 482191897 |
| Phone Number: | 2488854319 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2013 |
| NPI Last Update Date: | 11/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5601002272 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |