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General NPI Number Information
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NPI Number | 1659310613
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Entity Type | Organization
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Legal Business Name | WOMENS CARE OF DETROIT PLLC 2
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3750 WOODWARD AVE STE 200 B
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City | DETROIT
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State | MI
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Zip | 48201-2007
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Country | US
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Telephone | 313-993-4538
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Fax | 313-993-4537
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Provider Business Mailing Address
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Address Line | 26400 W 12 MILE RD STE 140
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1700
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Country | US
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Telephone | 248-352-8200
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Fax | 248-356-8255
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DR. JOHN M MALONE JR.
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Credential | M.D.
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Telephone | 313-993-4513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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