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Organization
PROFESSIONAL HEALTH CARE PROVIDERS
Active
Organization
PROFESSIONAL HEALTH CARE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSAM FADLALLAH P.A.C. (PRESIDENT)
(313) 610-6659
Entity
Organization
Contact information
Practice address
2011 MIDDLEBELT RD, GARDEN CITY, MI 48135-2819
(313) 610-6659
(734) 367-1214
Mailing address
2011 MIDDLEBELT RD, GARDEN CITY, MI 48135-2819
(313) 610-6659
(734) 367-1214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101008983
MI
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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