Organization
JOHN EID SOLE MBR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EID (DIRECTOR)
(586) 907-1092
Entity
Organization
Contact information
Practice address
APPLEWOOND DR SHELBY, BROOKS, MI 53912
(586) 907-1092
Mailing address
APPLEWOOND DR SHELBY, BROOKS, MI 53912
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E200429772052
—
MI
Enumeration date
12/31/2020
Last updated
12/31/2020
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