Organization
HOPE PRIMARY CARE ROMULUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NUSRAT JAVAID MD (MEDICAL DIRECTOR)
(810) 412-5590
Entity
Organization
Contact information
Practice address
9171 LAPEER RD, DAVISON, MI 48423-3617
(810) 412-5590
(810) 412-5593
Mailing address
9340 WAYNE RD, ROMULUS, MI 48174-1569
(810) 412-5590
(810) 412-5593
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
4301056997
MI
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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