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Organization
TAC MEDICAL CENTER PC
Active
Organization
TAC MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREK A CHAHINE M.D. (MEDICAL DIRECTOR)
(248) 670-3617
Entity
Organization
Contact information
Practice address
1120 E LONG LAKE RD STE 120, TROY, MI 48085-4998
(248) 946-9400
(586) 816-1904
Mailing address
1120 E LONG LAKE RD STE 120, TROY, MI 48085-4998
(248) 946-9400
(586) 816-1904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
08/10/2022
Last updated
09/12/2022
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