Organization
M DJAMALI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHSEN DJAMALI MD (OWNER)
(313) 258-8449
Entity
Organization
Contact information
Practice address
780 N LAPEER RD, LAKE ORION, MI 48362-1529
(313) 258-8449
(734) 451-0603
Mailing address
PO BOX 81936, ROCHESTER, MI 48308-1936
(313) 258-8449
(734) 451-0603
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
4301039115
MI
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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