Organization
I & L PROFESSIONAL MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INNOCENT E. AGBASSI MD (PRESIDENT)
(313) 282-4527
Entity
Organization
Contact information
Practice address
15357 FARMINGTON RD, SUITE 2, LIVONIA, MI 48154-2847
(734) 266-3565
Mailing address
15357 FARMINGTON RD, SUITE 2, LIVONIA, MI 48154-2847
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301075373
MI
Other
Enumeration date
07/16/2006
Last updated
06/17/2016
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