Organization
JP MEDICAL PC
Active
Organization
JP MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADI IBRAHIM MD (DOCTOR)
(248) 974-9291
Entity
Organization
Contact information
Practice address
9001 15 MILE RD STE E, STERLING HEIGHTS, MI 48312-3621
(482) 974-9291
Mailing address
PO BOX 1346, STERLING HEIGHTS, MI 48311-1346
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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