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Individual

DR. ALEX ELSABBAGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 N TELEGRAPH RD, DEARBORN, MI 48128-1622
(313) 274-6666
(313) 274-4466
Mailing address
1022 N TELEGRAPH RD, DEARBORN, MI 48128-1622
(313) 274-6666
(313) 274-4466

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301080518
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0820610
BCN
MI
01
12965
CAPE MEDICAL
MI
01
17474
MCARE
MI
01
3508206102
BCBS
MI
05
489769110
MI
01
6U4930
CIGNA
MI
Enumeration date
11/30/2006
Last updated
01/04/2011
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