Organization
PREMIER PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZEN NASEEB HAMAMEH DO (MEMBER PHYSICIAN)
(313) 278-2788
Entity
Organization
Contact information
Practice address
22318 FORD RD, DEARBORN HEIGHTS, MI 48127-2421
(313) 278-2788
(313) 278-8215
Mailing address
22318 FORD RD, DEARBORN HEIGHTS, MI 48127-2421
(313) 278-2788
(313) 278-8215
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101016795
MI
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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