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Organization
GATEWAY CLINICS PLLD
Active
Organization
GATEWAY CLINICS PLLD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASSER TAGHAVI M.D. (OWNER)
(248) 478-1100
Entity
Organization
Contact information
Practice address
20331 FARMINGTON RD, SUITE 101, LIVONIA, MI 48152-1411
(248) 478-1100
(248) 478-7054
Mailing address
20331 FARMINGTON RD, SUITE 101, LIVONIA, MI 48152-1411
(248) 478-1100
(248) 478-7054
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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