Organization
INNOVATION MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASEM ALMASRI M.D. (PHYSICIAN)
(586) 772-2600
Entity
Organization
Contact information
Practice address
25710 KELLY RD, STE 3, ROSEVILLE, MI 48066-4959
(586) 772-2600
Mailing address
25710 KELLY RD, STE 3, ROSEVILLE, MI 48066-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
04/10/2017
Last updated
12/12/2023
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