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Organization
ISMAIL B SENDI MD, PC
Active
Organization
ISMAIL B SENDI MD, PC
Active
Other names
New Oakland Child Adolescent and Family Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISMAIL B SENDI MD (EXECUTIVE MEDICAL DIRECTOR)
(248) 634-6303
Entity
Organization
Contact information
Practice address
26522 VAN DYKE AVE, CENTER LINE, MI 48015-1221
(248) 634-6303
Mailing address
12850 FOUNTAIN SQ, STE 106, DAVISBURG, MI 48350-2552
(248) 634-6303
(248) 634-1746
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018954
MIDWEST HEALTH PLAN
MI
01
—
0910932
BLUE CARE NETWORK
MI
01
—
5055
MACOMB COUNTY CMH
MI
01
—
750910681
BLUE CROSS BLUE SHIELD MICHIGAN
MI
01
—
XX19153
HEALTHPLUS
MI
Enumeration date
01/18/2011
Last updated
01/18/2011
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