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Organization
SCHAEFER MEDICAL CENTER DEARBORN PLC
Active
Organization
SCHAEFER MEDICAL CENTER DEARBORN PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NESRENE GHANI MD (OWNER)
(313) 624-0000
Entity
Organization
Contact information
Practice address
5245 SCHAEFER RD, SUITE A, DEARBORN, MI 48126-3257
(313) 624-0000
(313) 624-0063
Mailing address
5245 SCHAEFER RD, SUITE A, DEARBORN, MI 48126-3257
(313) 624-0000
(313) 624-0063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301055729
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301055729
LICENSE
MI
Enumeration date
12/26/2006
Last updated
07/31/2015
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