Organization
ADVANCED OB-GYN OF DEARBORN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHAZALA AZAM AHMED M.D. (PRESIDENT)
(501) 412-9552
Entity
Organization
Contact information
Practice address
2263 PINECROFT DR, UNIT 216, CANTON, MI 48188-2247
(501) 412-9552
Mailing address
2421 MONROE ST, DEARBORN, MI 48124-3043
(313) 447-0511
(313) 447-0496
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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