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Organization

EXECUTIVE HEALTH PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MASSUD ALMASSUDI MD (PRESEDENT)
(313) 278-2800
Entity
Organization

Contact information

Practice address
1213 MASON ST, DEARBORN, MI 48124-2841
(313) 278-2800
(313) 278-0030
Mailing address
1213 MASON ST, DEARBORN, MI 48124-2841
(313) 278-2800
(313) 278-0030

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RR0500X
Rheumatology Physician
363LA2200X
Adult Health Nurse Practitioner

Other

Enumeration date
04/28/2015
Last updated
09/21/2015
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