Organization
INDEPENDENT MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI KADDOURA M.D (LEADER)
(313) 565-3365
Entity
Organization
Contact information
Practice address
24825 MICHIGAN AVE STE B, DEARBORN, MI 48124-1758
(313) 565-3365
(313) 565-3440
Mailing address
24825 MICHIGAN AVE STE B, DEARBORN, MI 48124-1758
(313) 565-3365
(313) 565-3440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/20/2014
Last updated
03/31/2014
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