| Rose M. Ibrahim M.d. Pc | |
|
13739 S Huron River Dr Romulus MI 48174-3628 | |
| (734) 941-0895 | |
| Not Available |
| Full Name | Rose M. Ibrahim M.d. Pc |
|---|---|
| Speciality | General Practice |
| Location | 13739 S Huron River Dr, Romulus, Michigan |
| Authorized Official Name and Position | Rose Ibrahim (PRESIDENT) |
| Authorized Official Contact | 7349410895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose M. Ibrahim M.d. Pc 1598 Old Chatham Dr Bloomfield Hills MI 48304-1040 Ph: (734) 941-0895 | Rose M. Ibrahim M.d. Pc 13739 S Huron River Dr Romulus MI 48174-3628 Ph: (734) 941-0895 |
| NPI Number | 1093747818 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093747818 | NPI | - | NPPES |
| 1592176 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4301046478 (Michigan) | Primary |
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