| F.f. Ishac, Md | |
|
18475 Farmington Rd Livonia MI 48152-3200 | |
| (248) 478-8300 | |
| (248) 478-8410 |
| Full Name | F.f. Ishac, Md |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 18475 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Fathy Farid Ishac (PRESIDENT) |
| Authorized Official Contact | 2484788300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| F.f. Ishac, Md 18475 Farmington Rd Livonia MI 48152-3200 Ph: (248) 478-8300 | F.f. Ishac, Md 18475 Farmington Rd Livonia MI 48152-3200 Ph: (248) 478-8300 |
| NPI Number | 1841591328 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 11/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841591328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | FI028985 (Michigan) | Primary |
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