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Rose M. Ibrahim M.d. Pc
General Practice Physician in Romulus, Michigan
NPI 1093747818

Rose M. Ibrahim M.d. Pc is a General Practice Physician based in Bloomfield Hills, MI. Rose M. Ibrahim M.d. Pc practices in Romulus, MI. The NPI Number for Rose M. Ibrahim M.d. Pc is 1093747818 and holds a License No. 4301046478 (Michigan).

The current practice location address for Rose M. Ibrahim M.d. Pc is 13739 S Huron River Dr, Romulus, MI and can be reached out via phone at 734-941-0895.

Location: 13739 S Huron River Dr, Romulus, MI, 48304-1040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093747818
Provider Name
Rose M. Ibrahim M.d. Pc
Credential
Provider Entity Type
Organization
Address
13739 S Huron River Dr, Romulus, MI, 48304-1040
Phone Number
734-941-0895
Fax Number
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1592176 05 MI
institution
Provider Business Practice Location Address Details
Address
13739 S Huron River Dr
City
Romulus
State
Michigan
Zip
48174-3628
Phone Number
734-941-0895
Fax Number
person
Provider Business Mailing Address Details
Address
13739 S Huron River Dr
City
Romulus
State
Michigan
Zip
48174-3628
Phone Number
734-941-0895
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
4301046478 (Michigan)
Definition
Definition to come...
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