E & G MEDICAL ASSOCIATES PC
Osteopathic Medicine at Jefferson Ave, Detroit, MI

License number
Michigan 4301046145
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: ALAN F GREEN M.D.
Title: PRESIDENT
Phone: (313) 567-3551
Address
Address 2
2950 E Jefferson Ave, Detroit, MI 48207
PO Box 252643, West Bloomfield, MI 48325
National Provider ID: 1053634188
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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E & G MEDICAL ASSOCIATES, PC

Detroit, MI 48214

Status:
Inactive
Registration:
Dec 12, 1991
State ID:
421652
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2000
Agent:
Alan Green

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