Organization
PRIMARY HEATLH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI M NASSER MD (PRESIDENT)
(313) 843-8300
Entity
Organization
Contact information
Practice address
337 INKSTER RD, INKSTER, MI 48141-1208
(313) 843-8300
Mailing address
PO BOX 4186, DEARBORN, MI 48126-0186
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301077843
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4627749
—
MI
Enumeration date
03/20/2009
Last updated
03/20/2009
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