Organization
COMMUNITY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISHAQ VAID (PRESIDENT/OWNER)
(734) 525-6703
Entity
Organization
Contact information
Practice address
9477 N TERRITORIAL RD STE 100, DEXTER, MI 48130-8583
(734) 525-6703
Mailing address
9477 N TERRITORIAL RD STE 100, DEXTER, MI 48130-8583
(734) 525-6703
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
09/26/2010
Last updated
09/26/2010
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