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Organization
EXECUTIVE MEDICAL CARE LLC
Active
Organization
EXECUTIVE MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN ISMAIL (AO)
(419) 890-4666
Entity
Organization
Contact information
Practice address
4260 MONROE ST, TOLEDO, OH 43606-1944
(419) 890-4666
Mailing address
17000 EXECUTIVE PLAZA DR STE 201, DEARBORN, MI 48126-2793
(419) 890-4666
(419) 890-4771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/10/2023
Last updated
08/29/2023
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