institution
Executive Diagnostic Group, Pllc
Multi-Specialty Clinic/Center in Dearborn, Michigan
NPI 1881955953

Executive Diagnostic Group, Pllc is a Multi-Specialty Clinic/Center based in Dearborn, MI and is specialized in Multi-Specialty. Executive Diagnostic Group, Pllc practices in Dearborn, MI. The NPI Number for Executive Diagnostic Group, Pllc is 1881955953 and holds a License No. 4301038699 (Michigan).

The current practice location address for Executive Diagnostic Group, Pllc is 1711 Monroe St, Dearborn, MI and can be reached out via phone at 313-359-9361 and via fax at 313-436-1767.

Location: 1711 Monroe St, Dearborn, MI, 48124-2914
institution
Provider Profile Details
NPI Number
1881955953
Provider Name
Executive Diagnostic Group, Pllc
Credential
Provider Entity Type
Organization
Address
1711 Monroe St, Dearborn, MI, 48124-2914
Phone Number
313-359-9361
Fax Number
313-436-1767
Provider Enumeration Date
06/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1711 Monroe St
City
State
Zip
48124-2914
Phone Number
313-359-9361
Fax Number
313-436-1767
person
Provider Business Mailing Address Details
Address
1711 Monroe St
City
State
Zip
48124-2914
Phone Number
313-359-9361
Fax Number
313-436-1767
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
4301038699 (Michigan)
Definition
Definition to come...
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