Organization
EAST DEARBORN MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL MHANNA (OWNER)
(313) 581-0200
Entity
Organization
Contact information
Practice address
14650 W WARREN AVE, STE 150, DEARBORN, MI 48126-1799
(313) 581-0200
(313) 582-3300
Mailing address
14650 W WARREN AVE, STE 150, DEARBORN, MI 48126-1799
(313) 581-0200
(313) 582-3300
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301069195
MI
Other
Enumeration date
10/12/2016
Last updated
11/01/2016
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