Organization
MASRI CLINIC FOR LASER & COSMETIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FATINA MASRI MD (OWNER)
(313) 945-9800
Entity
Organization
Contact information
Practice address
13530 MICHIGAN AVENUE, SUITE 150, DEARBORN, MI 48126
(313) 945-9800
(313) 945-9184
Mailing address
13530 MICHIGAN AVENUE, SUITE 150, DEARBORN, MI 48126
(313) 945-9800
(313) 945-9184
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301053444
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FM053444
LICENSE
MI
Enumeration date
08/24/2006
Last updated
08/22/2020
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