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Organization
SENIOR CARE MEDICAL GROUP PLLC
Active
Organization
SENIOR CARE MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BELAL F ABDALLAH MD (OWNER)
(313) 945-5450
Entity
Organization
Contact information
Practice address
15400 MICHIGAN AVE, SUITE ONE, DEARBORN, MI 48126-3491
(313) 584-3359
(313) 584-1729
Mailing address
15400 MICHIGAN AVE, STE (1), DEARBORN, MI 48126
(313) 584-3359
(313) 584-1729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BA059825
MI
364SL0600X
Long-Term Care Clinical Nurse Specialist
KM171632
MI
364SL0600X
Long-Term Care Clinical Nurse Specialist
MZ112158
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4933009
—
MI
Enumeration date
06/25/2006
Last updated
08/26/2013
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