| Phoenix Medical Spa Mdpc | |
|
7105 Allen Rd Allen Park MI 48101-2009 | |
| (313) 381-7130 | |
| (313) 381-0721 |
| Full Name | Phoenix Medical Spa Mdpc |
|---|---|
| Speciality | Family Medicine |
| Location | 7105 Allen Rd, Allen Park, Michigan |
| Authorized Official Name and Position | Hassan A. Saghir (OWNER, CEO) |
| Authorized Official Contact | 3133104300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Medical Spa Mdpc 6833 Calhoun St Dearborn MI 48126-1808 Ph: (313) 584-2260 | Phoenix Medical Spa Mdpc 7105 Allen Rd Allen Park MI 48101-2009 Ph: (313) 381-7130 |
| NPI Number | 1508107038 |
|---|---|
| Provider Enumeration Date | 03/07/2013 |
| Last Update Date | 03/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508107038 | NPI | - | NPPES |
| 0951827 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301088407 (Michigan) | Primary |
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