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Michele Joann Roach
Community Health Clinic/Center in Detroit, Michigan
NPI 1265647200

Michele Joann Roach is a Community Health Clinic/Center based in Brownstown, MI and is specialized in Community Health. Michele Joann Roach practices in Detroit, MI. The NPI Number for Michele Joann Roach is 1265647200 and holds a License No. 3701-0106-0953-552 (Michigan).

The current practice location address for Michele Joann Roach is 2799 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-916-1231.

Location: 2799 W Grand Blvd, Detroit, MI, 48174-9585
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265647200
Provider Name
Michele Joann Roach
Credential
Provider Entity Type
Individual
Gender
Female
Address
2799 W Grand Blvd, Detroit, MI, 48174-9585
Phone Number
313-916-1231
Fax Number
Provider Enumeration Date
05/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3701-0106-0953-552 01 MI CERTIFIED PHARMACY TECH
institution
Provider Business Practice Location Address Details
Address
2799 W Grand Blvd
City
Detroit
State
Michigan
Zip
48202-2608
Phone Number
313-916-1231
Fax Number
person
Provider Business Mailing Address Details
Address
2799 W Grand Blvd
City
Detroit
State
Michigan
Zip
48202-2608
Phone Number
313-916-1231
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
3701-0106-0953-552 (Michigan)
Definition
Definition to come...
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