Provider Demographics
NPI:1821684044
Name:D GROUP INTERNATIONAL CONSULTING SERVICES LLC
Entity Type:Organization
Organization Name:D GROUP INTERNATIONAL CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIST
Authorized Official - Middle Name:
Authorized Official - Last Name:GORGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-864-3693
Mailing Address - Street 1:33493 W 14 MILE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-1522
Mailing Address - Country:US
Mailing Address - Phone:248-790-8680
Mailing Address - Fax:
Practice Address - Street 1:33493 W 14 MILE RD STE 100
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-1522
Practice Address - Country:US
Practice Address - Phone:248-790-8680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-13
Last Update Date:2020-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health