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Gateway Detroit
Preferred Provider Organization in Detroit, Michigan
NPI 1831508522

Gateway Detroit is a Preferred Provider Organization based in Detroit, MI. Gateway Detroit practices in Detroit, MI. The NPI Number for Gateway Detroit is 1831508522 and holds a License No. 6803086187 (Michigan).

The current practice location address for Gateway Detroit is 11457 Shoemaker St, Detroit, MI and can be reached out via phone at 313-331-3435 and via fax at 313-924-0609.

Location: 11457 Shoemaker St, Detroit, MI, 48213-3418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831508522
Provider Name
Gateway Detroit
Credential
Provider Entity Type
Organization
Address
11457 Shoemaker St, Detroit, MI, 48213-3418
Phone Number
313-331-3435
Fax Number
313-924-0609
Provider Enumeration Date
08/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11457 Shoemaker St
City
Detroit
State
Michigan
Zip
48213-3418
Phone Number
313-331-3435
Fax Number
313-924-0609
person
Provider Business Mailing Address Details
Address
11457 Shoemaker St
City
Detroit
State
Michigan
Zip
48213-3418
Phone Number
313-331-3435
Fax Number
313-924-0609
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
6803086187 (Michigan)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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