Primary Care Of Michigan | |
22359 Cherry Hill St Dearborn MI 48124-1190 | |
(313) 406-3030 | |
(313) 406-3037 |
Full Name | Primary Care Of Michigan |
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Speciality | Family Medicine |
Location | 22359 Cherry Hill St, Dearborn, Michigan |
Authorized Official Name and Position | Mohammad Sabbagh (OWNER) |
Authorized Official Contact | 3134063030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Of Michigan 22359 Cherry Hill St Dearborn MI 48124-1190 Ph: (313) 406-3030 | Primary Care Of Michigan 22359 Cherry Hill St Dearborn MI 48124-1190 Ph: (313) 406-3030 |
NPI Number | 1750999751 |
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Provider Enumeration Date | 07/16/2020 |
Last Update Date | 08/22/2023 |
Medicare PECOS PAC ID | 7012332943 |
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Medicare Enrollment ID | O20200810000504 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750999751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mohammad Sabbagh |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1568860922 PECOS PAC ID: 4183926801 Enrollment ID: I20200810000569 |
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