Organization Name: | PROFESSIONAL PATIENT CARE PC |
NPI Number: | 1740683176 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEIUTTENUN BROWN (CEO) |
Mailing Address: | 901 W Grand Blvd Suite 101 Detroit |
State: | MI US |
Postal Code: | 482082353 |
Phone Number: | 3138941500 |
Fax Number: | 3138941501 |
NPI Enumeration Date: | 09/30/2014 |
NPI Last Update Date: | 10/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |