Organization
ALLERGY IMMUNOLOGY AND PULMONARY CRITICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM AL-SANOURI MD (OWNER)
(248) 651-6430
Entity
Organization
Contact information
Practice address
950 W AVON RD, SUITE A2, ROCHESTER HILLS, MI 48307-2761
(248) 651-6430
(248) 650-1382
Mailing address
950 W AVON RD, SUITE A2, ROCHESTER HILLS, MI 48307-2761
(248) 651-6430
(248) 650-1382
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
207RP1001X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4707714
—
MI
Enumeration date
09/26/2006
Last updated
07/08/2015
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