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Woodward Boulevard Medical Building

Clinic/Center in Detroit, MI · enumerated 2018 · authorized official Latonya Wallace-Hardiman, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689151946

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Registry record

Entity type Organization (Type 2)
Legal business name Woodward Boulevard Medical Building
Practice address 5830 Conner St, Detroit, MI, 48213
Phone (313) 924-1456
Fax (313) 636-2290
Enumeration date Jul 19, 2018
Last updated in NPPES Nov 13, 2020

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Latonya Wallace-Hardiman
Title Owner
Phone (313) 715-7170

Other identifiers

Identifier Type State Issuer
1053818039 Other MI N/A

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Woodward Boulevard Medical Building?
Woodward Boulevard Medical Building is registered in NPPES as a Clinic/Center (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-13.