Organization
HURON VALLEY HOUSE PEDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHAR SHABB QALIEH MD (DIRECTOR)
(810) 220-3700
Entity
Organization
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TOWNSHIP, MI 48382-2201
(248) 937-5041
Mailing address
32406 FRANKLIN RD UNIT 250577, FRANKLIN, MI 48025-7022
(248) 760-0899
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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