| Crescent Family Practice PC | |
|
18250 W Warren Ave Detroit MI 48228-3427 | |
| (313) 271-2800 | |
| (313) 271-0990 |
| Full Name | Crescent Family Practice PC |
|---|---|
| Speciality | Family Medicine |
| Location | 18250 W Warren Ave, Detroit, Michigan |
| Authorized Official Name and Position | Firas Zouabi (OWNER) |
| Authorized Official Contact | 3132712800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Family Practice PC 18250 W Warren Ave Detroit MI 48228-3427 Ph: (313) 271-2800 | Crescent Family Practice PC 18250 W Warren Ave Detroit MI 48228-3427 Ph: (313) 271-2800 |
| NPI Number | 1881883247 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 10/22/2007 |
| Medicare PECOS PAC ID | 9133216450 |
|---|---|
| Medicare Enrollment ID | O20071102000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881883247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301069416 (Michigan) | Primary |
| Provider Name | Firas Zouabi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194814467 PECOS PAC ID: 6406943729 Enrollment ID: I20071102000732 |
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