Organization
ELITE MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOUSIF ISHMAIL MD (OWNER)
(248) 974-2511
Entity
Organization
Contact information
Practice address
3210 PINE LAKE RD, WEST BLOOMFIELD, MI 48324-1951
(248) 974-2511
Mailing address
3210 PINE LAKE RD, WEST BLOOMFIELD, MI 48324-1951
(248) 974-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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