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Organization
TRUST CARE CLINIC PLLC
Active
Organization
TRUST CARE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HATEM M ATAYA MD (MEDICAL DIRECTOR)
(989) 345-2068
Entity
Organization
Contact information
Practice address
611 COURT ST LOWR LEVEL, SUITE B, WEST BRANCH, MI 48661-9390
(989) 345-2068
Mailing address
611 COURT ST LOWR LEVEL, PO BOX 903, WEST BRANCH, MI 48661-9390
(989) 345-2068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301079461
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881664829
—
MI
Enumeration date
01/12/2007
Last updated
07/14/2008
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