institution
Elias G Gennaoui M.d. Pc
Specialist in Allen Park, Michigan
NPI 1205000205

Elias G Gennaoui M.d. Pc is a Specialist based in Allen Park, MI. Elias G Gennaoui M.d. Pc practices in Allen Park, MI. The NPI Number for Elias G Gennaoui M.d. Pc is 1205000205 and holds a License No. EG037248 (Michigan).

The current practice location address for Elias G Gennaoui M.d. Pc is 14825 Southfield Rd, Allen Park, MI and can be reached out via phone at 313-386-3930 and via fax at 313-386-0962.

Location: 14825 Southfield Rd, Allen Park, MI, 48101-2642
institution
Provider Profile Details
NPI Number
1205000205
Provider Name
Elias G Gennaoui M.d. Pc
Credential
Provider Entity Type
Organization
Address
14825 Southfield Rd, Allen Park, MI, 48101-2642
Phone Number
313-386-3930
Fax Number
313-386-0962
Provider Enumeration Date
04/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3442150 05 MI
institution
Provider Business Practice Location Address Details
Address
14825 Southfield Rd
City
State
Zip
48101-2642
Phone Number
313-386-3930
Fax Number
313-386-0962
person
Provider Business Mailing Address Details
Address
14825 Southfield Rd
City
State
Zip
48101-2642
Phone Number
313-386-3930
Fax Number
313-386-0962
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
EG037248 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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