Executive Plaza Medical, P.c. | |
17000 Executive Plaza Dr Suite 103 Dearborn MI 48126-2793 | |
(313) 915-4632 | |
(313) 915-4634 |
Full Name | Executive Plaza Medical, P.c. |
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Speciality | Clinic/center - Multi-specialty |
Location | 17000 Executive Plaza Dr, Dearborn, Michigan |
Authorized Official Name and Position | Hossam A Hossein (MANAGER) |
Authorized Official Contact | 3139154632 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Executive Plaza Medical, P.c. 17000 Executive Plaza Dr Suite 103 Dearborn MI 48126-2793 Ph: (313) 915-4632 | Executive Plaza Medical, P.c. 17000 Executive Plaza Dr Suite 103 Dearborn MI 48126-2793 Ph: (313) 915-4632 |
NPI Number | 1952715153 |
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Provider Enumeration Date | 06/16/2014 |
Last Update Date | 01/13/2015 |
Identifier | Type | State | Issuer |
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1952715153 | NPI | - | NPPES |
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