Organization
PREMIER DME
Active
Organization
PREMIER DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIAB SULEIMAN DO (OWNER)
(313) 261-2060
Entity
Organization
Contact information
Practice address
17000 EXECUTIVE PLAZA DR STE 101, DEARBORN, MI 48126-2793
(313) 261-2060
Mailing address
17000 EXECUTIVE PLAZA DR STE 101, DEARBORN, MI 48126-2793
(313) 261-2060
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802572365
STATE OF MICHIGAN
MI
Enumeration date
02/15/2021
Last updated
02/15/2021
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