Organization
LIVEWELL MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA EL MASRI (BILLING MANAGER)
(248) 215-0048
Entity
Organization
Contact information
Practice address
3611 CARPENTER ST STE 5, HAMTRAMCK, MI 48212-2784
(313) 733-8286
(313) 826-0899
Mailing address
3611 CARPENTER ST STE 5, HAMTRAMCK, MI 48212-2784
(313) 733-8286
(313) 826-0899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/26/2023
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