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Organization

MASRI CLINIC FOR LASER & COSMETIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FATINA MASRI MD (OWNER)
(313) 945-9800
Entity
Organization

Contact information

Practice address
13530 MICHIGAN AVE, SUITE 150, DEARBORN, MI 48126
(313) 945-9800
(313) 945-9184
Mailing address
13530 MICHIGAN AVE, SUITE 150, DEARBORN, MI 48126
(313) 945-9800
(313) 945-9184

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4301052487
MI
208D00000X
General Practice Physician
Primary
4301053444
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4867754
MI
Enumeration date
05/29/2007
Last updated
09/11/2025
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