Associates MD PLLC
Clinic/Center, Urgent Care in Dearborn, MI. Organization (NPI-2).
NPI number1194476903
StatusActive
Last updated in NPPESJan 13, 2022
Details
- NPI
- 1194476903
- Entity type
- Organization (NPI-2)
- Legal business name
- Associates MD PLLC
- Organization subpart
- No
- Enumeration date
- Jan 13, 2022
- Certification date
- Jan 13, 2022
- Last updated
- Jan 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
4520 Firestone StDearborn, MI 48126-4602
Phone 313-528-1145
Mailing address
4520 Firestone StDearborn, MI 48126-4602
Phone 313-528-1145
Authorized official
Nabil Hodroj
Owner
3135281145
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