| Hazel Park Medical Group Pc | |
|
3161 Hilton Rd Ferndale MI 48220-1038 | |
| (248) 399-8331 | |
| (248) 399-3912 |
| Full Name | Hazel Park Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3161 Hilton Rd, Ferndale, Michigan |
| Authorized Official Name and Position | Musib Gappy (PRESIDENT) |
| Authorized Official Contact | 2483998331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazel Park Medical Group Pc 23411 John R Rd Hazel Park MI 48030-1404 Ph: (248) 399-8331 | Hazel Park Medical Group Pc 3161 Hilton Rd Ferndale MI 48220-1038 Ph: (248) 399-8331 |
| NPI Number | 1265763973 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 07/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265763973 | NPI | - | NPPES |
| 0F38756 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301057989 (Michigan) | Primary |
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