institution
Executive Plaza Medical, P.c.
Multi-Specialty Clinic/Center in Dearborn, Michigan
NPI 1952715153

Executive Plaza Medical, P.c. is a Multi-Specialty Clinic/Center based in Dearborn, MI and is specialized in Multi-Specialty. Executive Plaza Medical, P.c. practices in Dearborn, MI. The NPI Number for Executive Plaza Medical, P.c. is 1952715153 and holds a License No. 5101006652 (Michigan).

The current practice location address for Executive Plaza Medical, P.c. is 17000 Executive Plaza Dr, Dearborn, MI and can be reached out via phone at 313-915-4632 and via fax at 313-915-4634.

Location: 17000 Executive Plaza Dr, Dearborn, MI, 48126-2793
institution
Provider Profile Details
NPI Number
1952715153
Provider Name
Executive Plaza Medical, P.c.
Credential
Provider Entity Type
Organization
Address
17000 Executive Plaza Dr, Dearborn, MI, 48126-2793
Phone Number
313-915-4632
Fax Number
313-915-4634
Provider Enumeration Date
06/16/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
17000 Executive Plaza Dr
City
State
Zip
48126-2793
Phone Number
313-915-4632
Fax Number
313-915-4634
person
Provider Business Mailing Address Details
Address
17000 Executive Plaza Dr
City
State
Zip
48126-2793
Phone Number
313-915-4632
Fax Number
313-915-4634
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
5101006652 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
5101006652 (Michigan)
Definition
Definition to come...
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