Individual
GHALEB MROUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6436 STEADMAN ST, DEARBORN, MI 48126-2057
(313) 377-2400
(248) 809-6865
Mailing address
25354 EVERGREEN RD STE 103, SOUTHFIELD, MI 48075-1776
(313) 377-2400
(248) 809-6865
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802300418
MEDICAL EQUIMENT
MI
Enumeration date
03/26/2019
Last updated
06/03/2019
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