# METRO MEDICAL OF DEARBORN PC

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

## Provider details

- **NPI number:** 1477970457
- **Authorized official:** CHRIS STANLEY (MANAGER)
- **Authorized official phone:** (313) 563-7878

## Contact information

- **Practice address:** 2220 N TELEGRAPH RD, DEARBORN, MI 48128-2213
- **Practice address phone:** (313) 563-7878
- **Practice address fax:** (313) 563-8443
- **Mailing address:** 2220 N TELEGRAPH RD, DEARBORN, MI 48128-2213
- **Mailing address phone:** (313) 563-7878
- **Mailing address fax:** (313) 563-8443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 5101005442 | MI | Yes |

## Other

- **Enumeration date:** 03/27/2014
- **Last updated:** 06/25/2014