# MYNA

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

## Provider details

- **NPI number:** 1396351037
- **Authorized official:** MANAL OMAR DO (PHYSICIAN/OWNER)
- **Authorized official phone:** (734) 716-5901

## Contact information

- **Practice address:** 388 INKSTER RD, INKSTER, MI 48141-1209
- **Practice address phone:** (734) 716-5901
- **Practice address fax:** (248) 658-8777
- **Mailing address:** 23647 PADDOCK DR, FARMINGTON HILLS, MI 48336-2227
- **Mailing address phone:** (734) 716-5901
- **Mailing address fax:** (248) 658-8777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2020
- **Last updated:** 05/24/2021
