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Organization
MYNA
Active
Organization
MYNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANAL OMAR DO (PHYSICIAN/OWNER)
(734) 716-5901
Entity
Organization
Contact information
Practice address
388 INKSTER RD, INKSTER, MI 48141-1209
(734) 716-5901
(248) 658-8777
Mailing address
23647 PADDOCK DR, FARMINGTON HILLS, MI 48336-2227
(734) 716-5901
(248) 658-8777
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/18/2020
Last updated
05/24/2021
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