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Organization
20TH STREET CLINIC PC
NPI 1578744918
Active
Family Medicine
Quick Facts
NPI Number
1578744918
Type
Organization (NPI-2)
Status
Active
Enumeration Date
2007-11-14
Last Updated (NPPES)
2013-03-27
Primary Specialty / Taxonomy
| Taxonomy | Family Medicine |
| Taxonomy Code | 207Q00000X |
| License | 5101004673 MI |
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