Organization
MINI INVASIVE PODIATRY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHASSAN S ATEYAH DPM (OWNER/EMPLOYER)
(586) 434-3444
Entity
Organization
Contact information
Practice address
1607 E BIG BEAVER RD STE 110, TROY, MI 48083-2067
(586) 434-3444
(586) 434-3445
Mailing address
1607 E BIG BEAVER RD STE 110, TROY, MI 48083-2067
(586) 434-3444
(586) 434-3445
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962968719
—
MI
Enumeration date
04/29/2020
Last updated
01/28/2025
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