| Manor Medical Center Pc | |
|
10645 W Warren Ave Dearborn MI 48126-1540 | |
| (313) 945-9393 | |
| Not Available |
| Full Name | Manor Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 10645 W Warren Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Mohamad Elmenini (MD) |
| Authorized Official Contact | 3139459393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manor Medical Center Pc 10645 W Warren Ave Dearborn MI 48126-1540 Ph: () - | Manor Medical Center Pc 10645 W Warren Ave Dearborn MI 48126-1540 Ph: (313) 945-9393 |
| NPI Number | 1427102508 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 12/29/2014 |
| Medicare PECOS PAC ID | 2466454467 |
|---|---|
| Medicare Enrollment ID | O20070205000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427102508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Asker E Asmi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649240177 PECOS PAC ID: 7911808332 Enrollment ID: I20040119000431 |
| Provider Name | Mohammad S Elmenini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821042581 PECOS PAC ID: 6709888704 Enrollment ID: I20071109000526 |
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