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Organization

ADVANCE LASER THERAPY PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUBASHIR ALI SABIR MD (OWNER)
(248) 331-9490
Entity
Organization

Contact information

Practice address
25591 COOLIDGE HWY, OAK PARK, MI 48237-1306
(248) 331-9490
(248) 331-9254
Mailing address
25591 COOLIDGE HWY, OAK PARK, MI 48237-1306
(248) 331-9490
(248) 331-9254

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
802956372
STATE OF MICHIGAN LICENSING
MI
Enumeration date
12/13/2022
Last updated
12/13/2022
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