# MICHIGAN VASCULAR SURGERY PLLC

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

## Provider details

- **NPI number:** 1437969920
- **Authorized official:** KHALIL MASABNI MD (OWNER)
- **Authorized official phone:** (561) 957-7555

## Contact information

- **Practice address:** 5250 AUTO CLUB DR STE 300, DEARBORN, MI 48126-2619
- **Practice address phone:** (313) 724-9000
- **Mailing address:** 5250 AUTO CLUB DR STE 300, DEARBORN, MI 48126-2619
- **Mailing address phone:** (313) 724-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2025
- **Last updated:** 01/16/2025