Individual
IMAD NASSER ELBGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6450 MAPLE ST, DEARBORN, MI 48126-2259
(313) 216-2200
(313) 584-3622
Mailing address
6450 MAPLE ST, DEARBORN, MI 48126-2259
(313) 216-2200
(313) 584-3622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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