| Hartland Geriatric Pc | |
|
2040 Monroe St Ste 207 Dearborn MI 48124-2950 | |
| (313) 278-5836 | |
| Not Available |
| Full Name | Hartland Geriatric Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2040 Monroe St, Dearborn, Michigan |
| Authorized Official Name and Position | Fathelrahmna Ali (OWNER) |
| Authorized Official Contact | 3132785836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartland Geriatric Pc 2040 Monroe St Ste 207 Dearborn MI 48124-2950 Ph: (313) 278-5836 | Hartland Geriatric Pc 2040 Monroe St Ste 207 Dearborn MI 48124-2950 Ph: (313) 278-5836 |
| NPI Number | 1396288825 |
|---|---|
| Provider Enumeration Date | 12/01/2016 |
| Last Update Date | 12/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396288825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Michigan) | Primary |
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