Rose M. Ibrahim M.d. PC

NPI #1093747818 in Romulus, Michigan

Provider Information

NPI Number: 1093747818
Entity Type: Organization
Organization Name: Rose M. Ibrahim M.d. PC
Primary Specialty: General Practice
Enumeration Date: Jul 6, 2006
Last Updated: Jan 11, 2008

Practice Location

Address: 13739 S HURON RIVER DR
City: Romulus
State: Michigan
ZIP Code: 48174-3628
Phone: (734) 941-0895

Authorized Official

Name: ROSE IBRAHIM
Title: PRESIDENT
Phone: (734) 941-0895

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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