Organization
EXECUTIVE MEDICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN DAKROUB MD (OWNER)
(313) 485-0111
Entity
Organization
Contact information
Practice address
17000 EXECUTIVE PLAZA DR STE 104, DEARBORN, MI 48126-2793
(313) 879-0111
(313) 879-0222
Mailing address
17000 EXECUTIVE PLAZA DR STE 104, DEARBORN, MI 48126-2793
(313) 879-0111
(313) 879-0222
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
10/03/2023
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