Hamtramck General Medical Practice PLLC
Clinic/Center, Primary Care in Hamtramck, MI. Organization (NPI-2).
NPI number1295074409
StatusActive
Last updated in NPPESFeb 7, 2013
Details
- NPI
- 1295074409
- Entity type
- Organization (NPI-2)
- Legal business name
- Hamtramck General Medical Practice PLLC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2013
- Last updated
- Feb 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 4301089057 | MI | Yes |
Practice location
9632 Conant StHamtramck, MI 48212-3305
Phone 313-871-1912 · Fax 313-871-1914
Mailing address
9632 Conant StHamtramck, MI 48212-3305
Phone 313-871-1912 · Fax 313-871-1914
Authorized official
Motahar H Ahmed
Owner
2482278072
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