PROVIDENCE PARK INTERNAL MEDICINE PC

NOVI, MI
NPI1487052619
Entity TypeOrganization
Authorized ContactSUHA A QASIM
President
248-891-4074
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301089716)
Enumeration Date2014-12-22
Last Update Date2015-01-07
Business Address
PROVIDENCE PARK INTERNAL MEDICINE PC
26850 PROVIDENCE PKWY SUITE 450
NOVI, MI 48374-1213
Phone number: 248-891-4074
Mailing Address
PROVIDENCE PARK INTERNAL MEDICINE PC
26850 PROVIDENCE PKWY SUITE 450
NOVI, MI 48374-1213
Phone number: 248-891-4074
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