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Organization
PRIME CARE MEDICAL CLINIC PLLC
Active
Organization
PRIME CARE MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOUAD A DAKHLALLAH M.D. (OWNER)
(313) 581-8080
Entity
Organization
Contact information
Practice address
13840 W WARREN AVE, DEARBORN, MI 48126-1425
(313) 581-8080
(313) 581-8383
Mailing address
13840 W WARREN AVE, DEARBORN, MI 48126-1425
(313) 581-8080
(313) 581-8383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301085126
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4753252
—
MI
Enumeration date
10/18/2010
Last updated
12/01/2011
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