Organization
MUSHIENESH HEALTH SERVICES
Active
Organization
MUSHIENESH HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WASFEH MUSHEINESH MD (OWNER)
(313) 515-6507
Entity
Organization
Contact information
Practice address
455 S YORK ST, DEARBORN, MI 48124-1459
(313) 409-1441
Mailing address
455 S YORK ST, DEARBORN, MI 48124-1459
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/17/2023
Last updated
12/20/2023
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