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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EXECUTIVE DIAGNOSTIC GROUP, PLLC

Active Organization

EXECUTIVE DIAGNOSTIC GROUP, PLLC is a Multi-Specialty Clinic organization located in DEARBORN, Michigan. NPI 1881955953 is currently active in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · DEARBORN, MI

Registration Details

NPI Number
1881955953
Provider Type
Organization
NPI Issued
Jun 5, 2012 (14.213417638696 yrs)
Last Updated
Sep 18, 2014
License
4301038699 (MI)

Practice Information

Address
1711 MONROE ST
DEARBORN, MI, 481242914
Browse MI providers · Browse ZIP 48124
Phone
3133599361
Fax
3134361767
Primary Specialty
Multi-Specialty Clinic
261QM1300X

Other Multi-Specialty Clinic Organizations in DEARBORN, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.