MEDICARE: FEDERAL MEDICAL SERVICES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	4301072477	MI

General Provider Information

NPI Number	:	1629300884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEDERAL MEDICAL SERVICES PC

Provider Business Mailing Address
First Line	:	1120 E LONG LAKE RD
Second Line	:	SUITE # 105
City	:	TROY
State	:	MI
Zip	:	48085-4974
Country	:	US
Telephone Number	:	248-526-9090
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 E LONG LAKE RD
Second Line	:	SUITE # 105
City	:	TROY
State	:	MI
Zip	:	48085-4974
Country	:	US
Telephone Number	:	248-526-9090
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. AYOUB SAYEG
Credential	:	M.D.
Telephone Number	:	248-526-9090

Provider Enumeration Date	:	02/12/2010
Last Update Date	:	02/12/2010

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