Professional Medical Group Md Pc | |
20290 Middlebelt Rd Livonia MI 48152-2002 | |
(248) 987-1250 | |
(248) 987-1251 |
Full Name | Professional Medical Group Md Pc |
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Speciality | Internal Medicine |
Location | 20290 Middlebelt Rd, Livonia, Michigan |
Authorized Official Name and Position | Nabil Suliman (OWNER/PRESIDENT) |
Authorized Official Contact | 2489871250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Professional Medical Group Md Pc 20290 Middlebelt Rd Livonia MI 48152-2002 Ph: (248) 987-1250 | Professional Medical Group Md Pc 20290 Middlebelt Rd Livonia MI 48152-2002 Ph: (248) 987-1250 |
NPI Number | 1205212099 |
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Provider Enumeration Date | 08/04/2015 |
Last Update Date | 08/26/2015 |
Identifier | Type | State | Issuer |
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1205212099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301059286 (Michigan) | Primary |
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