OBGYN SPECIALTY GROUP, PC
Medical Practice at James Couzens Fwy, Detroit, MI

License number
Michigan AA033474
Category
Medical Practice
Type
Hospice and Palliative Medicine
Owner
Name: DR. ALFRED C AUSTIN II MD
Title: OWNER
Phone: (313) 345-3144
Address
Address
19830 James Couzens Fwy, Detroit, MI 48235
National Provider ID: 1609086933
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OB-GYN SPECIALTY GROUP, PC

Detroit, MI

Status:
Inactive
Registration:
Nov 16, 1993
Addresses:
19830 James Couzens Hwy, Detroit, MI 48235 (Physical)
Michigan (Mailing)
State ID:
045797
Business type:
Domestic Professional Service Corporation
Expiration:
9-11-2012
Agent:
Alfred C. Austin, Ii, M.d

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