Organization
PROFESSIONAL HEALTH GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMI AHMAD (MANAGER)
(313) 624-9470
Entity
Organization
Contact information
Practice address
4700 GREENFIELD RD, DEARBORN, MI 48126-4124
(313) 624-9470
(313) 624-9471
Mailing address
2000 TOWN CTR, SUITE 625, SOUTHFIELD, MI 48075-1135
(248) 440-7100
(248) 850-2205
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
MI
207R00000X
Internal Medicine Physician
—
MI
208VP0000X
Pain Medicine Physician
Primary
—
MI
225100000X
Physical Therapist
—
MI
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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