Organization
ZOUHEIR FARES
Active
Other names
Beecher Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZOUHEIR FARES DO (OWNER)
(810) 733-8400
Entity
Organization
Contact information
Practice address
8384 HOLLY RD, SUITE 1, GRAND BLANC, MI 48439-1976
(810) 733-8400
(810) 733-2634
Mailing address
8384 HOLLY RD STE 1, GRAND BLANC, MI 48439-1974
(810) 733-8400
(810) 733-2634
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101008104
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252501065
BLUE CROSS BLUE SHIELD
MA
05
—
1931600
TYPE 11
MI
Enumeration date
11/03/2006
Last updated
12/30/2013
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