Organization
BLESSINGS MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAAD M DAKKAK M.D. (OWNER)
(313) 506-5706
Entity
Organization
Contact information
Practice address
4828 W WARREN AVE, DETROIT, MI 48210-1470
(313) 506-5706
Mailing address
4828 W WARREN AVE, DETROIT, MI 48210-1470
(313) 506-5706
(248) 274-5059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301407507
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10 4966995
—
MI
01
—
110H203000
BCBSM
MI
Enumeration date
12/05/2006
Last updated
11/28/2012
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