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Organization

ISMAIL B SENDI MD, PC

Active
Other names
New Oakland Child Adolescent and Family Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ISMAIL B SENDI MD (EXECUTIVE MEDICAL DIRECTOR)
(248) 634-6303
Entity
Organization

Contact information

Practice address
26522 VAN DYKE AVE, CENTER LINE, MI 48015-1221
(248) 634-6303
Mailing address
12850 FOUNTAIN SQ, STE 106, DAVISBURG, MI 48350-2552
(248) 634-6303
(248) 634-1746

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
018954
MIDWEST HEALTH PLAN
MI
01
0910932
BLUE CARE NETWORK
MI
01
5055
MACOMB COUNTY CMH
MI
01
750910681
BLUE CROSS BLUE SHIELD MICHIGAN
MI
01
XX19153
HEALTHPLUS
MI
Enumeration date
01/18/2011
Last updated
01/18/2011
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