Organization
MIDDLEBELT MEDICAL CENTER, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMER KAFELGHAZAL MD (PRESIDENT)
(734) 522-8590
Entity
Organization
Contact information
Practice address
16322 MIDDLEBELT RD, LIVONIA, MI 48154-3316
(734) 522-8590
Mailing address
16322 MIDDLEBELT RD, LIVONIA, MI 48154-3316
(734) 522-8590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SK058710
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36487151
—
MI
01
—
SK058710
STATE LICENSE
MI
Enumeration date
05/30/2007
Last updated
04/24/2008
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