| Middlebelt Medical Center, Plc | |
|
16322 Middlebelt Rd Livonia MI 48154-3316 | |
| (734) 522-8590 | |
| Not Available |
| Full Name | Middlebelt Medical Center, Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16322 Middlebelt Rd, Livonia, Michigan |
| Authorized Official Name and Position | Samer Kafelghazal (PRESIDENT) |
| Authorized Official Contact | 7345228590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middlebelt Medical Center, Plc 16322 Middlebelt Rd Livonia MI 48154-3316 Ph: (734) 522-8590 | Middlebelt Medical Center, Plc 16322 Middlebelt Rd Livonia MI 48154-3316 Ph: (734) 522-8590 |
| NPI Number | 1932300803 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932300803 | NPI | - | NPPES |
| 36487151 | Medicaid | MI | |
| SK058710 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | SK058710 (Michigan) | Primary |
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