Organization
PREMIER DIAGNOSTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSTAFA HASHEM MD (PRESIDENT)
(743) 341-9969
Entity
Organization
Contact information
Practice address
48492 INVERARAY RD, CANTON, MI 48188
(734) 341-9969
Mailing address
48492 INVERARAY RD, CANTON, MI 48188
(734) 341-9969
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301067758
MI
Other
Enumeration date
03/24/2010
Last updated
04/01/2010
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