institution
Gwendolyn Washington M.d. Professional Corporation
General Practice Physician in Southfield, Michigan
NPI 1457681074

Gwendolyn Washington M.d. Professional Corporation is a General Practice Physician based in Southfield, MI. Gwendolyn Washington M.d. Professional Corporation practices in Southfield, MI. The NPI Number for Gwendolyn Washington M.d. Professional Corporation is 1457681074 and holds a License No. (Michigan).

The current practice location address for Gwendolyn Washington M.d. Professional Corporation is 29255 Northwestern Hwy Ste 105, Southfield, MI and can be reached out via phone at 248-350-8895 and via fax at 248-350-8894.

Location: 29255 Northwestern Hwy Ste 105, Southfield, MI, 48034-5740
institution
Provider Profile Details
NPI Number
1457681074
Provider Name
Gwendolyn Washington M.d. Professional Corporation
Credential
Provider Entity Type
Organization
Address
29255 Northwestern Hwy Ste 105, Southfield, MI, 48034-5740
Phone Number
248-350-8895
Fax Number
248-350-8894
Provider Enumeration Date
01/04/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2103295 05 MI
institution
Provider Business Practice Location Address Details
Address
29255 Northwestern Hwy Ste 105
City
State
Zip
48034-5740
Phone Number
248-350-8895
Fax Number
248-350-8894
person
Provider Business Mailing Address Details
Address
29255 Northwestern Hwy Ste 105
City
State
Zip
48034-5740
Phone Number
248-350-8895
Fax Number
248-350-8894
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
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Definition
Definition to come...
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