Organization
MONROE ARTHRITIS CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZEN ELYAN (OWNER)
(734) 682-5524
Entity
Organization
Contact information
Practice address
730 N MACOMB ST, SUITE 320, MONROE, MI 48162-2900
(734) 682-5524
Mailing address
730 N MACOMB ST, SUITE 320, MONROE, MI 48162-2900
(734) 682-5524
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301093250
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104978048
IND NPI
—
05
—
2706316
—
OH
01
—
EL7369971
MEDICARE
—
Enumeration date
09/24/2008
Last updated
01/05/2012
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