Healthcare Provider Details

I. General information

NPI: 1326933599
Provider Name (Legal Business Name): GREATER DETROIT TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23800 W 8 MILE RD
SOUTHFIELD MI
48033-4237
US

IV. Provider business mailing address

23800 W 8 MILE RD
SOUTHFIELD MI
48033-4237
US

V. Phone/Fax

Practice location:
  • Phone: 248-352-0412
  • Fax:
Mailing address:
  • Phone: 248-352-0412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: MR. WALTER PETER WASHINGTON
Title or Position: CONCIERGE
Credential:
Phone: 248-325-0401