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Organization

FOREST AREA HEALTH CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THABIT M BAHHUR M.D. (MEDICAL DIRECTOR)
(231) 879-4810
Entity
Organization

Contact information

Practice address
113 MAIN ST, FIFE LAKE, MI 49633-9062
(231) 879-4810
(231) 879-4916
Mailing address
113 MAIN ST, PO BOX 221, FIFE LAKE, MI 49633-9062
(231) 879-4810
(231) 879-4916

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301046404
MI

Other

Enumeration date
03/31/2008
Last updated
10/09/2008
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