Organization
DIGESTIVE DISEASE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOWAFAK A ASBAHI MD (PHYSICIAN OWNER)
(248) 476-6100
Entity
Organization
Contact information
Practice address
18320 FARMINGTON RD, LIVONIA, MI 48152
(248) 476-6100
(248) 471-6452
Mailing address
18320 FARMINGTON RD, LIVONIA, MI 48152
(248) 476-6100
(248) 476-6452
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301033455
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102699892
—
MI
Enumeration date
06/11/2012
Last updated
10/12/2012
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