Organization
ICARE MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIHAM KIWAN (MANAGER)
(313) 415-8684
Entity
Organization
Contact information
Practice address
27209 LAHSER RD STE 225, SOUTHFIELD, MI 48034-8401
(248) 450-3493
(248) 450-3495
Mailing address
5250 KELLEN LN, BLOOMFIELD HILLS, MI 48302-2738
(313) 415-8684
(248) 450-3495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
04/19/2022
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