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OLIVE TREE MEDICAL CLINIC PC NPI 1457660789


NPI Information

NPI: 1457660789
Provider Name: OLIVE TREE MEDICAL CLINIC PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
18181 OAKWOOD BLVD
SUITE 206
DEARBORN, MI
ZIP 48124
Phone: (313) 451-8253
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OLIVE TREE MEDICAL CLINIC PC is a family medicine in Dearborn, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OLIVE TREE MEDICAL CLINIC PC NPI is 1457660789. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18181 OAKWOOD BLVD
SUITE 206
DEARBORN, MI
ZIP 48124-032
Phone: (313) 451-8253
Fax: (313) 451-8351

The provider's authorized official is Sham Juratli .
The authorized official title is President and has the following contact phone number (313) 451-8253.

The enumeration date for this NPI number is 10/5/2010 and was last updated on 11/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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