| Fikry F Ibrahim Md Pc | |
|
20825 Mack Ave Grosse Pointe Woods MI 48236-1485 | |
| (313) 886-0006 | |
| (313) 886-8523 |
| Full Name | Fikry F Ibrahim Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20825 Mack Ave, Grosse Pointe Woods, Michigan |
| Authorized Official Name and Position | Fikry F Ibrahim (OWNER) |
| Authorized Official Contact | 3138860006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fikry F Ibrahim Md Pc 20825 Mack Ave Grosse Pointe Woods MI 48236-1485 Ph: (313) 886-0006 | Fikry F Ibrahim Md Pc 20825 Mack Ave Grosse Pointe Woods MI 48236-1485 Ph: (313) 886-0006 |
| NPI Number | 1245443811 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 06/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245443811 | NPI | - | NPPES |
| 1105260481 | Other | MI | BLUECROSS LICENSE |
| 101375432 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301031520 (Michigan) | Primary |
Center For Preventive Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20870 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-885-2334 Fax: 313-647-4837 | |
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