Organization
VISITING PHYSICIANS ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAZLOLAH NICKHAH M.D. (OWNER)
(734) 477-9030
Entity
Organization
Contact information
Practice address
3150 PACKARD RD, YPSILANTI, MI 48197-1994
(734) 477-9030
(734) 477-9032
Mailing address
3150 PACKARD RD, YPSILANTI, MI 48197-1994
(734) 477-9030
(734) 477-9032
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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