Organization
MICHIGAN SPECIALTY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATINA MASRI MD (OWNER)
(313) 945-9800
Entity
Organization
Contact information
Practice address
13510 MICHIGAN AVE, DEARBORN, MI 48126-3511
(313) 582-0100
Mailing address
13510 MICHIGAN AVE, DEARBORN, MI 48126-3511
(313) 582-0100
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760700660
—
MI
Enumeration date
02/25/2019
Last updated
03/10/2020
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