EXECUTIVE PLAZA MEDICAL, P.C.
Ambulatory Health at Executive Plaza Dr, Dearborn, MI

License number
Michigan 5101006652
Category
Osteopathic Medicine
Type
General Practice
License number
Michigan 5101006652
Category
Ambulatory Health
Type
Multi-Specialty
License number
Michigan 4301405324
Category
Ambulatory Health
Type
Multi-Specialty
License number
Michigan 4301405559
Category
Ambulatory Health
Type
Multi-Specialty
Owner
Name: HOSSAM A HOSSEIN
Title: MANAGER
Phone: (313) 915-4632
Address
Address
17000 Executive Plaza Dr SUITE 103, Dearborn, MI 48126
National Provider ID: 1952715153
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EXECUTIVE PLAZA MEDICAL, P.C. at bizstanding.com

EXECUTIVE PLAZA MEDICAL PC

Dearborn, MI

Registration:
Feb 26, 2014
Addresses:
17000 Executive Plz Dr STE 103, Dearborn, MI 48126 (Physical)
Michigan (Mailing)
State ID:
05635M
Business type:
Domestic Profit Corporation
Agent:
Joseph Bivens

Ambulatory Health licenses in Michigan










Other Doctors licenses in Michigan