Organization
JAN MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI I IBRAHIM M.D. (MEMBER)
(586) 690-7994
Entity
Organization
Contact information
Practice address
43361 COMMONS DR, CLINTON TOWNSHIP, MI 48038-1109
(586) 690-7994
(586) 569-2589
Mailing address
43361 COMMONS DR, CLINTON TOWNSHIP, MI 48038-1109
(586) 690-7994
(586) 569-2589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301092978
MI
Other
Enumeration date
07/09/2015
Last updated
09/19/2016
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