Organization
MICHIGAN SPECIALTY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATINA MASRI MD (OWNER)
(313) 945-9800
Entity
Organization
Contact information
Practice address
13530 MICHIGAN AVE STE 110, DEARBORN, MI 48126-3575
(313) 945-9800
Mailing address
13530 MICHIGAN AVE STE 110, DEARBORN, MI 48126-3575
(313) 945-9800
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/05/2022
Last updated
03/05/2022
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