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Organization
FADI SALLOUM MD PC
Active
Organization
FADI SALLOUM MD PC
Active
Other names
IMPACT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI SALLOUM MD (OWNER)
(248) 267-0135
Entity
Organization
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5516
(248) 338-5547
Mailing address
PO BOX 869, BLOOMFIELD HILLS, MI 48303-0869
(248) 267-0135
(248) 338-5547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301065435
MI
Other
Enumeration date
07/16/2007
Last updated
08/07/2013
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