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NPI Code Detail

MEDICARE: METRO MAN II INC

MEDICARE: METRO MAN II INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility824350MI

General Provider Information

NPI Number : 1649275959
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO MAN II INC
Provider Business Mailing Address
First Line : 25440 5 MILE RD
Second Line :
City : REDFORD
State : MI
Zip : 48239-3881
Country : US
Telephone Number : 313-255-2273
Fax Number : 313-255-2425
Provider Business Practice Location Address
First Line : 8365 N NEWBURGH RD
Second Line :
City : WESTLAND
State : MI
Zip : 48185-1149
Country : US
Telephone Number : 734-416-2000
Fax Number : 734-459-3050
Authorized Official
Title or Position : PRESIDENT
Name : MR. CHARLES A DUNN
Credential :
Telephone Number : 313-255-2273
Provider Enumeration Date : 06/15/2005
Last Update Date : 08/22/2020

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Directions to “METRO MAN II INC ” Practice Location

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