Registry details
Type
Individual
Primary specialty
Internal Medicine, Hematology & Oncology
Enumerated
Jul 23, 2018
License(s)
4301114837 (MI), 4301510748 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2800 W GRAND BLVD | Detroit, MI 48202-2610 | 888-777-4167 |
| MAILING | 2799 W. GRAND BLVDL CFP 046, HOPE PECK | Detroit, MI 48202 | 313-916-8212 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.