| Elite Sports & Regenerative Medicine Pllc | |
|
1022 N Telegraph Rd Ste 2 Dearborn MI 48128-1622 | |
| (313) 764-0088 | |
| (313) 254-3586 |
| Full Name | Elite Sports & Regenerative Medicine Pllc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 1022 N Telegraph Rd Ste 2, Dearborn, Michigan |
| Authorized Official Name and Position | Mohammad Ibrahim (MANAGER) |
| Authorized Official Contact | 3137640088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Sports & Regenerative Medicine Pllc 1022 N Telegraph Rd Ste 2 Dearborn MI 48128-1622 Ph: (313) 764-0088 | Elite Sports & Regenerative Medicine Pllc 1022 N Telegraph Rd Ste 2 Dearborn MI 48128-1622 Ph: (313) 764-0088 |
| NPI Number | 1619863933 |
|---|---|
| Provider Enumeration Date | 06/13/2025 |
| Last Update Date | 06/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619863933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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