| Greenwarren Family Clinic | |
|
5237 Oakman Blvd Ste E Dearborn MI 48126-4045 | |
| (313) 420-8300 | |
| Not Available |
| Full Name | Greenwarren Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 5237 Oakman Blvd Ste E, Dearborn, Michigan |
| Authorized Official Name and Position | Samer Ibrahim Homisha (PHYSICAN) |
| Authorized Official Contact | 3134208300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenwarren Family Clinic 23120 Wilson Ave Dearborn MI 48128-1853 Ph: (313) 420-8300 | Greenwarren Family Clinic 5237 Oakman Blvd Ste E Dearborn MI 48126-4045 Ph: (313) 420-8300 |
| NPI Number | 1164234639 |
|---|---|
| Provider Enumeration Date | 01/22/2025 |
| Last Update Date | 07/17/2025 |
| Medicare PECOS PAC ID | 4183148075 |
|---|---|
| Medicare Enrollment ID | O20250414000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164234639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Samer Homisha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417139643 PECOS PAC ID: 2062697311 Enrollment ID: I20110429000594 |
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