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Organization

GREAT LAKES INTERNIST PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOUHAMAD F RIHAWI MD (PRESIDENT)
(586) 727-7209
Entity
Organization

Contact information

Practice address
35000 DIVISION RD, SUITE 9, RICHMOND, MI 48062-1566
(586) 228-8606
Mailing address
35000 DIVISION RD, SUITE 9, RICHMOND, MI 48062-1566
(586) 727-7209
(586) 727-7929

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301065345
MI
261QP2300X
Primary Care Clinic/Center
4301065345
MI

Other

Enumeration date
01/19/2007
Last updated
07/02/2013
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