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“Military Health Care Provider” (Detroit, MI)

Location: Detroit, MI
Taxonomy: Military Health Care Provider.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1255039210 — KENNETH TARTER
Practice Location Address:
2004 E LAFAYETTE ST
DETROIT MI
48207-3949
Practice Phone: 248-508-6039
1255818977 — JESSICA A LYONS
Practice Location Address:
11751 NOTTINGHAM RD
DETROIT MI
48224-4100
Practice Phone: 313-208-3219

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