LIGHT OF HOPE FAMILY MEDICAL CLINIC
Ambulatory Health at Dexter Ave, Detroit, MI

License number
Michigan 4301046832
Category
Ambulatory Health
Type
Multi-Specialty
Owner
Name: DR. KARL BANDLIEN M.D.
Title: PRESIDENT
Phone: (313) 894-7881
Address
Address
9600 Dexter Ave, Detroit, MI 48206
National Provider ID: 1497172381
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LIGHT OF HOPE FAMILY MEDICAL CLINIC PC

Detroit, MI

Registration:
Apr 8, 2014
Addresses:
9600 Dexter, Detroit, MI 48206 (Physical)
Michigan (Mailing)
State ID:
05611W
Business type:
Domestic Profit Corporation
Agent:
Karl Bandlien

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