Organization
PRIME MEDICAL FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ELMASRI (ADMIN)
(248) 215-0048
Entity
Organization
Contact information
Practice address
18730 FORD RD, UNIT C1, DETROIT, MI 48228
(313) 623-4910
Mailing address
18730 FORD RD, UNIT C1, DETROIT, MI 48228
(313) 623-4910
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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