Organization
MICHIGAN PRIMARY CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODWAN FADLALLAH MD (PRESIDENT)
(313) 406-2222
Entity
Organization
Contact information
Practice address
27250 CHERRY HILL RD, DEARBORN HEIGHTS, MI 48127-3677
(313) 406-2222
(313) 908-2687
Mailing address
27250 CHERRY HILL RD, DEARBORN HEIGHTS, MI 48127-3677
(313) 406-2222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301103085
MI
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/11/2018
Last updated
02/22/2023
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