Organization
OBSERVATION PHYSICIANS OF MACOMB PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAMA FASHHO DO (AUTHORIZED OFFICIAL)
(586) 493-3084
Entity
Organization
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
PO BOX 779095, CHICAGO, IL 60677-9095
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
04/09/2020
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