Organization
ELITE SPORTS & REGENERATIVE MEDICINE PLLC
Active
Other names
Elite Sports & Regenerative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD IBRAHIM DO (MANAGER)
(313) 764-0088
Entity
Organization
Contact information
Practice address
1022 N TELEGRAPH RD STE 2, DEARBORN, MI 48128-1622
(313) 764-0088
(313) 254-3586
Mailing address
1022 N TELEGRAPH RD STE 2, DEARBORN, MI 48128-1622
(313) 764-0088
(313) 254-3586
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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