| Professional Health Care Providers | |
|
2011 Middlebelt Rd Garden City MI 48135-2819 | |
| (313) 610-6659 | |
| (734) 367-1214 |
| Full Name | Professional Health Care Providers |
|---|---|
| Speciality | Internal Medicine |
| Location | 2011 Middlebelt Rd, Garden City, Michigan |
| Authorized Official Name and Position | Housam Fadlallah (PRESIDENT) |
| Authorized Official Contact | 3136106659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Health Care Providers 2011 Middlebelt Rd Garden City MI 48135-2819 Ph: (313) 610-6659 | Professional Health Care Providers 2011 Middlebelt Rd Garden City MI 48135-2819 Ph: (313) 610-6659 |
| NPI Number | 1427232057 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 12/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427232057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101008983 (Michigan) | Primary |
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