Organization
ELITE LONG TERM CARE PLLC
Active
Parent organization
ELITE INTERNAL MEDICINE, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITE INTERNAL MEDICINE, PC
Authorized official
WIDAD LEWIS YOUSIF (OFFICE MANAGER)
(586) 977-9066
Entity
Organization
Contact information
Practice address
34580 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-5277
(586) 977-9066
(586) 977-9041
Mailing address
34580 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-5277
(586) 977-9066
(586) 977-9041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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