ABBOTT MEDICAL GROUP PLLC

NPI 1659370724 Active Internal Medicine

Quick Facts

NPI Number

1659370724

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2005-07-20

Last Updated (NPPES)

2009-05-20

Primary Specialty / Taxonomy

Taxonomy	Internal Medicine
Taxonomy Code	`207R00000X`
License	4301060096 MI

Practice Address

19830 JAMES COUZENS FWY
SUITE B
DETROIT, MI 482351938

Phone: 313-341-4800

Fax: 313-341-4848

Mailing Address

PO BOX 44047
DETROIT, MI 482440047

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