Organization
KIDNEY CARE SPECIALISTS OF MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATEN SULEIMAN AYYOUB M.D. (PRESIDENT)
(586) 778-0664
Entity
Organization
Contact information
Practice address
29001 HARPER AVE, SAINT CLAIR SHORES, MI 48081-2711
(586) 778-0664
(586) 778-0396
Mailing address
2250 HAWTHORNE DR S, SHELBY TWP, MI 48316-5536
(586) 778-0664
(586) 778-0396
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
01/28/2011
Last updated
06/02/2015
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