| Digestive Disease Clinic Pc | |
|
18320 Farmington Rd Livonia MI 48152 | |
| (248) 476-6100 | |
| (248) 471-6452 |
| Full Name | Digestive Disease Clinic Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 18320 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Mowafak A Asbahi (PHYSICIAN OWNER) |
| Authorized Official Contact | 2484766100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Clinic Pc 18320 Farmington Rd Livonia MI 48152 Ph: (248) 476-6100 | Digestive Disease Clinic Pc 18320 Farmington Rd Livonia MI 48152 Ph: (248) 476-6100 |
| NPI Number | 1043572563 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 10/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043572563 | NPI | - | NPPES |
| 102699892 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301033455 (Michigan) | Primary |
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