Organization
ADVANCED FAMILY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAISSAM GHALEB EL-TAKECH SAMIRA DGHAILY (OFFICE MANAGER)
(313) 632-1351
Entity
Organization
Contact information
Practice address
6636 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-2200
(313) 274-3123
(313) 274-3343
Mailing address
6636 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-2200
(313) 632-1349
(313) 274-3343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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