# MIZRAHI MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023522414
- **Authorized official:** DANIEL S MIZRAHI DO (OWNER)
- **Authorized official phone:** (248) 890-3994

## Contact information

- **Practice address:** 7633 E JEFFERSON AVE STE 250, DETROIT, MI 48214-3731
- **Practice address phone:** (313) 821-3338
- **Practice address fax:** (313) 823-5363
- **Mailing address:** 7633 E JEFFERSON AVE STE 250, DETROIT, MI 48214-3731
- **Mailing address phone:** (313) 821-3338
- **Mailing address fax:** (313) 823-5363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 5101016034 | MI | Yes |

## Other

- **Enumeration date:** 11/22/2017
- **Last updated:** 11/22/2017