| Shores Internal Medicine P.c. | |
|
4777 E Outer Dr Detroit MI 48234-3241 | |
| (313) 576-8778 | |
| Not Available |
| Full Name | Shores Internal Medicine P.c. |
|---|---|
| Speciality | Internal Medicine - Medical Oncology |
| Location | 4777 E Outer Dr, Detroit, Michigan |
| Authorized Official Name and Position | Malaz Alatassi (OWNER) |
| Authorized Official Contact | 5867784950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shores Internal Medicine P.c. 43750 Garfield Rd Suite 207 Clinton Township MI 48038-1135 Ph: () - | Shores Internal Medicine P.c. 4777 E Outer Dr Detroit MI 48234-3241 Ph: (313) 576-8778 |
| NPI Number | 1457525248 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 11/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457525248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Michigan) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | (Michigan) | Primary |
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