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Organization
PIONEER MEDICAL GROUP PLLC
Active
Organization
PIONEER MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIZWAN KHAN MD (AUTHORIZED OFFICIAL)
(248) 912-8080
Entity
Organization
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(248) 912-8080
(734) 462-0340
Mailing address
17177 N LAUREL PARK DR STE 439, LIVONIA, MI 48152-3938
(734) 462-0340
(734) 462-0344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
05/28/2020
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