Organization
MOBILE PHYSICIAN GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI H FAKIH D.O (OWNER)
(734) 729-2300
Entity
Organization
Contact information
Practice address
22137 MICHIGAN AVE, DEARBORN, MI 48124-2204
(734) 729-2300
Mailing address
22137 MICHIGAN AVE, DEARBORN, MI 48124-2204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004300
MI
Other
Enumeration date
06/17/2014
Last updated
08/22/2014
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