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Organization
MASRI CLINIC FOR LASER & COSMETIC
Active
Organization
MASRI CLINIC FOR LASER & COSMETIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATINA MASRI MD (OWNER)
(313) 945-9800
Entity
Organization
Contact information
Practice address
13530 MICHIGAN AVE, SUITE 150, DEARBORN, MI 48126
(313) 945-9800
(313) 945-9184
Mailing address
13530 MICHIGAN AVE, SUITE 150, DEARBORN, MI 48126
(313) 945-9800
(313) 945-9184
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4301052487
MI
208D00000X
General Practice Physician
Primary
4301053444
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4867754
—
MI
Enumeration date
05/29/2007
Last updated
09/11/2025
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