# MICHIGAN COSMETIC CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700063377
- **Authorized official:** DR. FATINA MASRI M.D. (MEMBER)
- **Authorized official phone:** (248) 706-1113

## Contact information

- **Practice address:** 13530 MICHIGAN AVE, SUITE 150, DEARBORN, MI 48126-3574
- **Practice address phone:** (248) 706-1113
- **Mailing address:** 13530 MICHIGAN AVE, SUITE 150, DEARBORN, MI 48126-3574
- **Mailing address phone:** (248) 706-1113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2008
- **Last updated:** 01/26/2008