Jan Medical Group Pllc | |
43361 Commons Dr Clinton Township MI 48038-1109 | |
(586) 690-7994 | |
(586) 569-2589 |
Full Name | Jan Medical Group Pllc |
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Speciality | Family Medicine |
Location | 43361 Commons Dr, Clinton Township, Michigan |
Authorized Official Name and Position | Fadi I Ibrahim (MEMBER) |
Authorized Official Contact | 5866907994 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jan Medical Group Pllc 43361 Commons Dr Clinton Township MI 48038-1109 Ph: (586) 690-7994 | Jan Medical Group Pllc 43361 Commons Dr Clinton Township MI 48038-1109 Ph: (586) 690-7994 |
NPI Number | 1043694979 |
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Provider Enumeration Date | 07/09/2015 |
Last Update Date | 09/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043694979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301092978 (Michigan) | Primary |
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Rudyard L. Dimson Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43351 Commons Dr, Clinton Township, MI 48038 Phone: 586-228-8606 | |
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