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Organization
PREMIER MEDICAL MOVEMENT MANAGEMENT COMPANY LLC
Active
Organization
PREMIER MEDICAL MOVEMENT MANAGEMENT COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABLA M SOUEIDAN (OWNER)
(313) 207-5767
Entity
Organization
Contact information
Practice address
26000 HOOVER RD, WARREN, MI 48089-1167
(586) 434-5260
(586) 434-5261
Mailing address
529 N GULLEY RD, DEARBORN HTS, MI 48127-3453
(313) 207-5767
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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