Organization
MICHIGAN COSMETIC CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATINA MASRI M.D. (MEMBER)
(248) 706-1113
Entity
Organization
Contact information
Practice address
13530 MICHIGAN AVE, SUITE 150, DEARBORN, MI 48126-3574
(248) 706-1113
Mailing address
13530 MICHIGAN AVE, SUITE 150, DEARBORN, MI 48126-3574
(248) 706-1113
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2008
Last updated
01/26/2008
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