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Organization

ALLEN PRIMARY PODIATRY

Active
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Organization

ALLEN PRIMARY PODIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEX BOUHACHEM DPM (CEO)
(734) 895-4530
Entity
Organization

Contact information

Practice address
23801 W WARREN ST STE 102, DEARBORN HEIGHTS, MI 48127-2277
(734) 895-4530
(313) 447-3234
Mailing address
1813 N ROSEVERE AVE, DEARBORN, MI 48128-1242
(734) 895-4530
(313) 447-3234

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—

Other

Enumeration date
11/18/2021
Last updated
02/16/2023
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