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NPI Code Detail

MEDICARE: CITY OF DETROIT

MEDICARE: CITY OF DETROIT
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
1152W00000XOptometrist
2237700000XHearing Instrument Specialist
3251K00000XPublic Health or Welfare Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679883490
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF DETROIT
Provider Business Mailing Address
First Line : 3245 E. JEFFERSON
Second Line :
City : DETROIT
State : MI
Zip : 48207-4222
Country : US
Telephone Number : 313-876-4000
Fax Number : 313-876-0475
Provider Business Practice Location Address
First Line : 3245 E JEFFERSON AVE # 100
Second Line :
City : DETROIT
State : MI
Zip : 48207-4222
Country : US
Telephone Number : 313-876-4000
Fax Number : 313-876-0475
Authorized Official
Title or Position : GENERAL MANAGER
Name : KANZONI ASABIGI
Credential :
Telephone Number : 313-876-4000
Provider Enumeration Date : 10/14/2010
Last Update Date : 06/08/2017

Similar Medicare Providers

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1447433842 — CITY OF DETROIT
Practice Location Address:
3245 E JEFFERSON AVE STE 100
DETROIT, MI
48207-4222
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Practice Fax:
1538479019 — CITY OF DETROIT
Practice Location Address:
3245 E JEFFERSON AVE
DETROIT, MI
48207-4222
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Practice Fax:
1588974844 — CITY OF DETROIT
Practice Location Address:
3245 E JEFFERSON AVE STE 100
DETROIT, MI
48207-4222
Practice Phone: 313-876-4000
Practice Fax: 313-876-0475

Directions to “CITY OF DETROIT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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