Downriver Clinic PC

NPI #1205073285 in Grosse Ile, Michigan

Provider Information

NPI Number: 1205073285
Entity Type: Organization
Organization Name: Downriver Clinic PC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 14, 2009
Last Updated: Jul 15, 2010

Practice Location

Address: 8944 MACOMB ST
City: Grosse Ile
State: Michigan
ZIP Code: 48138-2089
Phone: (734) 675-0705

Authorized Official

Name: MOUNIR KHALED, MD
Title: OWNER MEDICAL DIRECTOR PHYSICIAN
Phone: (734) 675-0705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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