Individual
DR. IBTESAM M RAFEEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5266 SCHAEFER RD, DEARBORN, MI 48126-3228
(313) 914-3036
(313) 908-2247
Mailing address
5266 SCHAEFER RD, DEARBORN, MI 48126-3228
(313) 914-3036
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301085086
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301085086
PHYSICIAN LICENSE
MI
01
—
BR9193044
CONTROLLES SUBSTANCE REG.
MI
Enumeration date
02/17/2006
Last updated
09/19/2024
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