GREENFIELD MEDICAL CENTER OF DEARBORN, P.C.
Ambulatory Health at Schaefer Rd, Dearborn, MI

License number
Michigan 4301062443
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. MOHAMAD KHANSA M.D.
Title: PHYSICIAN OWNER
Phone: (313) 581-2121
Address
Address
5479 Schaefer Rd, Dearborn, MI 48126
National Provider ID: 1033389606
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GREENFIELD MEDICAL CENTER OF DEARBORN, PC

Dearborn, MI

Registration:
Oct 25, 2007
Addresses:
5220 Oakman Blvd, Dearborn, MI 48126 (Physical)
Michigan (Mailing)
State ID:
01211J
Business type:
Domestic Professional Service Corporation
Agent:
Mohamed R. Khansa Md

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