# FORUM MEDICAL CLINIC, PC

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

## Provider details

- **NPI number:** 1992734578
- **Authorized official:** DR. NICOLAS A MARSHEH IV M.D. (OWNER/OPERATOR)
- **Authorized official phone:** (586) 580-0280

## Contact information

- **Practice address:** 43184 DEQUINDRE RD STE 202, STERLING HEIGHTS, MI 48314-1709
- **Practice address phone:** (586) 580-0280
- **Practice address fax:** (586) 580-0281
- **Mailing address:** 43184 DEQUINDRE RD STE 202, STERLING HEIGHTS, MI 48314-1709
- **Mailing address phone:** (586) 580-0280
- **Mailing address fax:** (586) 580-0281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | NM 069838 | MI | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 03/07/2023