GATEWAY DETROIT

Preferred Provider Organization

Active Organization
NPI: 1831508522

Practice Address

11457 SHOEMAKER ST
Detroit, MI 48213

Phone: (313) 331-3435

Specialties

Specialty Code Primary License
Preferred Provider Organization 305R00000X Yes 6803086187 (MI)

Frequently Asked Questions

NPI 1831508522 is the National Provider Identifier for GATEWAY DETROIT, a Preferred Provider Organization provider located in Detroit, MI. This NPI was enumerated on August 6, 2014.

Quick Facts

NPI
1831508522
Type
Organization
Enumerated
Aug 6, 2014
Last Updated
Aug 6, 2014

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