Michigan Sports Medicine PC
NPI #1487150686 in Dearborn Heights, Michigan
Provider Information
- NPI Number
- 1487150686
- Entity Type
- Organization
- Organization Name
- Michigan Sports Medicine PC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 5, 2018
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 23902 FORD RD STE A
- City
- Dearborn Heights
- State
- Michigan
- ZIP Code
- 48127-3246
- Phone
- (313) 562-4700
Authorized Official
- Name
- TAREK SALIM HADLA, MD
- Title
- PHYSICIAN/AUTH OFFICAL
- Phone
- (313) 562-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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