# MASRI CLINIC FOR LASER & COSMETIC

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

## Provider details

- **NPI number:** 1083721161
- **Authorized official:** MRS. FATINA MASRI MD (OWNER)
- **Authorized official phone:** (313) 945-9800

## Contact information

- **Practice address:** 13530 MICHIGAN AVENUE, SUITE 150, DEARBORN, MI 48126
- **Practice address phone:** (313) 945-9800
- **Practice address fax:** (313) 945-9184
- **Mailing address:** 13530 MICHIGAN AVENUE, SUITE 150, DEARBORN, MI 48126
- **Mailing address phone:** (313) 945-9800
- **Mailing address fax:** (313) 945-9184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4301053444 | MI | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | FM053444 | LICENSE | MI |