| Intracare-dearborn | |
|
17000 Executive Plaza Dr Ste 103 Dearborn MI 48126-2793 | |
| (313) 880-3636 | |
| Not Available |
| Full Name | Intracare-dearborn |
|---|---|
| Speciality | Clinic/center |
| Location | 17000 Executive Plaza Dr Ste 103, Dearborn, Michigan |
| Authorized Official Name and Position | Yousef Almadrahi (CEO) |
| Authorized Official Contact | 3136032544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intracare-dearborn 17000 Executive Plaza Dr Ste 103 Dearborn MI 48126-2793 Ph: (313) 880-3636 | Intracare-dearborn 17000 Executive Plaza Dr Ste 103 Dearborn MI 48126-2793 Ph: (313) 880-3636 |
| NPI Number | 1528656667 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528656667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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