Organization
ADVANCED CARE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIDAL JBOOR M.D (OWNER)
(313) 791-8000
Entity
Organization
Contact information
Practice address
25614 FORD RD, DEARBORN HEIGHTS, MI 48127-3024
(313) 791-8000
(313) 791-8002
Mailing address
25614 FORD RD, DEARBORN HEIGHTS, MI 48127-3024
(313) 791-8000
(313) 791-8002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301082688
MI
Other
Enumeration date
09/20/2010
Last updated
12/24/2012
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