EXECUTIVE PLAZA MEDICAL, P.C.

DEARBORN, MI
NPI1952715153
Entity TypeOrganization
Authorized ContactHOSSAM A HOSSEIN
Manager
313-915-4632
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
(Licence: MI  5101006652)
Additional Taxonomies208D00000X General Practice
(Licence: MI  5101006652)
261QM1300X Clinic/Center, Multi-Specialty
(Licence: MI  4301405559)
261QM1300X Clinic/Center, Multi-Specialty
(Licence: MI  4301405324)
Enumeration Date2014-06-16
Last Update Date2015-01-13
Business Address
EXECUTIVE PLAZA MEDICAL, P.C.
17000 EXECUTIVE PLAZA DR SUITE 103
DEARBORN, MI 48126-2793
Phone number: 313-915-4632
Mailing Address
EXECUTIVE PLAZA MEDICAL, P.C.
17000 EXECUTIVE PLAZA DR SUITE 103
DEARBORN, MI 48126-2793
Phone number: 313-915-4632
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